ZipRecruiter

Log In

1

Pbm Jobs in Reston, VA (NOW HIRING)

Elevance Health

PBM Billing Specialist Senior

Ashburn, VA · On-site

$19.22 - $34.90/hr

PBM Billing Specialist Senior PBM Billing Specialist Senior Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ...

Elevance Health

PBM Financial Analyst Lead

Ashburn, VA

$74K - $135K/yr

PBM Financial Analyst Lead PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...

Segal

Senior Pharmacy BenefitsConsultant

Washington, DC · On-site

We are seeking a Senior Pharmacy Benefits Consultant to serve as a hands-on PBM strategy and execution leader within our pharmacy benefits consulting practice at a privately-owned, growth-oriented ...

Elevance Health

PBM Financial Analyst Lead

Ashburn, VA · On-site

$74K - $135K/yr

PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life ...

VIS IT Solutions Inc

SQL Analyst

Dulles, VA · Remote

Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...

Lucyrx

Financial Analyst

Bethesda, MD · On-site +1

The Financial Analyst will support PBM operations with a focus on rebate analytics, pharmacy network economics, and financial performance insights. This role collaborates with Strategic Solutions ...

Lucyrx

Senior Data Engineer

Bethesda, MD · Remote

$118K - $139K/yr

Preferences Prior experience in PBM or healthcare industries is a plus Familiarity with modern data tools (Apache Airflow, Kafka) Experience performance tuning pipelines for slowly changing ...

Lucyrx

Software Engineer

Bethesda, MD · Remote

Domain Expertise: (Preferred) Experience in industries with high data-compliance needs, such as Healthcare, PBM, or Finance. * Primary Requirement: Bachelor's degree in computer science, Information ...

VIS IT Solutions Inc

Synon Developer

Dulles, VA · Remote

Qualifications Required: - Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthcare PBM application - Experience with Benefit Plan and Core Adjudication in RxCLAIM - 5 - 8 Years of ...

VIS IT Solutions Inc

SYNON Developer

Dulles, VA · On-site

Qualifications Required: - Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthcare PBM application - Experience with Benefit Plan and Core Adjudication in RxCLAIM - 5 - 8 Years of ...

VIS IT Solutions Inc

SYNON Developer

Dulles, VA · Remote

Qualifications Required: - Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthcare PBM application - Experience with Benefit Plan and Core Adjudication in RxCLAIM - 5 - 8 Years of ...

next page

Showing results 1-20

All JobsPbm JobsPbm Jobs in Reston, VA

Pbm information

See Reston, VA salary details

$21.8K

$55.6K

$97.3K

How much do pbm jobs pay per year?

As of Jul 28, 2026, the average yearly pay for pbm in Reston, VA is $55,565.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,700.00 and $62,400.00 per year, depending on experience, location, and employer.

What is the highest paying job in B pharmacy?

In B pharmacy, the highest paying roles are often in pharmaceutical management, research and development, or regulatory affairs, which require advanced degrees and specialized skills. These positions typically offer higher salaries due to their expertise and responsibility levels.

What are some common challenges faced by Pharmacy Benefit Managers and how are they addressed?

Pharmacy Benefit Managers often encounter challenges such as staying compliant with frequently changing healthcare regulations, managing relationships between pharmacies, insurers, and clients, and controlling rising prescription drug costs. To address these challenges, PBMs work closely with cross-functional teams, leverage up-to-date technology platforms, and engage in ongoing education about regulatory requirements. Strong analytical skills help them assess and negotiate pricing strategies, while effective communication ensures all stakeholders are informed and aligned. By proactively managing these factors, PBMs play a key role in keeping healthcare affordable and accessible.

What are the key skills and qualifications needed to thrive in the Pbm position, and why are they important?

To thrive as a Pharmacy Benefit Manager (PBM), you need a solid understanding of pharmacy benefits, healthcare administration, insurance processes, and data analysis, often supported by a degree in pharmacy, healthcare management, or a related field. Familiarity with pharmacy claims processing systems, formulary management software, and compliance regulations is essential, and some roles may require pharmacy technician or pharmacist certification. Strong communication, negotiation, and organizational skills help PBMs collaborate with pharmacies, insurers, and clients while managing complex benefit structures. These capabilities are crucial for ensuring cost-effective, compliant, and efficient pharmacy benefit solutions for clients and patients.

How much does PBM make a month?

Pharmacy Benefit Managers (PBMs) typically earn between $4,000 and $8,000 per month for entry-level roles, with experienced professionals earning higher salaries. Compensation varies based on location, experience, and specific responsibilities within the organization.

What is the best PBM to work for?

Working as a pharmacy benefit manager (PBM) involves roles in pharmacy operations, claims processing, and formulary management. The best PBMs to work for are often large, well-established companies like CVS Health, Express Scripts, and OptumRx, which offer competitive benefits, career growth opportunities, and a focus on healthcare technology. Factors such as company culture, benefits, and job responsibilities should also be considered when evaluating employment options in this field.

What is a PBM job?

A PBM (Pharmacy Benefit Manager) job involves managing prescription drug benefits on behalf of health insurers, employers, and other payers. Responsibilities often include negotiating drug prices with manufacturers, creating formularies, processing pharmacy claims, and ensuring medication cost savings. PBM professionals work in roles such as clinical pharmacists, account managers, and analysts to optimize drug coverage and improve patient outcomes.

What is a PBM job?

A PBM (Pharmacy Benefit Manager) job involves managing prescription drug benefits for health insurance plans, including negotiating with pharmacies and drug manufacturers, processing claims, and developing formularies. PBM professionals typically require knowledge of healthcare regulations, pharmacy operations, and may hold certifications in pharmacy or healthcare management.
What are popular job titles related to Pbm jobs in Reston, VA? For Pbm jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Pbm jobs in Reston, VA look for? The top searched job categories for Pbm jobs in Reston, VA are:
What cities near Reston, VA are hiring for Pbm jobs? Cities near Reston, VA with the most Pbm job openings:
Pbm jobs near you
Infographic showing various Pbm job openings in Reston, VA as of July 2026, with employment types broken down into 94% Full Time, 3% Part Time, and 3% Contract. Highlights an 75% Physical, 3% Hybrid, and 22% Remote job distribution, with an average salary of $55,565 per year, or $26.7 per hour.
Manager - PBM/Payer Industry

Manager - PBM/Payer Industry

Optimity Advisors

Washington, DC

Full-time

Posted 22 days ago

Job description

Company Description

Optimity Advisors is a specialized management consulting and advisory firm that focuses on strategy, operations and IT. Our company is comprised of professional advisors with deep domain expertise in strategy, operational transformation, business intelligence, technology and regulatory compliance. We combine industry expertise and integrated solutions to help companies enhance stakeholder value, improve operations, and address performance and risk-related challenges.

Job Description

PURPOSE

We are currently seeking a Manager with experience in payer systems and pharmacy benefit management (PBM). This position is ideal for a mid-level consultant that has a passion for working with clients to understand their challenges, adapt to the unique situation of the client, and develop solutions. A Manager will lead teams, drive projects, and manage relationships through all phases of the project lifecycle.

RESPONSIBILITIES

Project Delivery and Management

  • Establish and execute a common set of project management processes and tolls for a project, including but not limited to project charters, workplans, issues, risks, and change requests
  • Prepare and manage project plans and address critical issues contributing to problems or delays on a project
  • Serve as day-to-day point of contact for client resources
  • Establish and monitor key project metrics for the project
  • Provide client and Optimity management with reports, metrics, and tools to illustrate the status of the project
  • Manage the internal and external project budget
  • Drive creation of deliverables relevant to each phase of the project lifecycle and as-how analyses as needed
  • Coach to clarify assignments and deliverables; mentor others in project management practices, review quality of work, and manage the integration of team members work

NECESSARY SKILLS

  • Excellent verbal and written communication skills, including strong active listening
  • Aptitude for quick learning and subject matter expertise development
  • Highly self-motivated, detail-oriented, and able to execute in high pressure environment
  • Sound problem solving and analytical skills
  • Strong MS Suite skills including Excel, Word, PowerPoint, and Visio
Qualifications

REQUIRED QUALIFICATIONS

  • Bachelor's degree, from an accredited university or college, in Healthcare, Business, or another closely related field
  • 3 years of experience in the payer, pharmacy, or related industry
  • Experience managing projects and cross-functional teams
  • Experience with Medicaid clients
  • Experience implementing PBM systems
  • Authorization to work in the United States on a permanent basis

PREFERRED QUALIFICATIONS

  • Experience in health plan operations
  • Experience with Conduent HSP
  • Experience with PBM vendor to core systems integration
  • Experience with Managed Care Organization
  • Demonstrated career progression with increased responsibilities and mentorship
Additional Information

If you are interested in being considered for this position, please apply directly on our website using the following link:

https://optimityadvisors.bamboohr.com/jobs/view.php?id=29&source=aWQ9MjM%3D

Optimity Advisors is an EEO/AA, Veteran, and People with Disabilities employer.

Apply