ZipRecruiter

Log In

1

Pbm Jobs in Reston, VA (NOW HIRING)

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 ...

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 ...

Integrated Resources

Pharmacy Director

Washington, DC · On-site

$146K - $193K/yr

DTM - focus areas, tracking results, program enhancements - Pharmacy queue improvement - Care Gaps - Review PBM policies and procedures for compliance with applicable state requirements. Reviews ...

Integrated Resources INC

Pharmacy Director

Washington, DC

$146K - $193K/yr

Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures Participate in onsite visits to hospital systems and selected physician group practices and ...

Stand Together

Regional Security Manager

Arlington, VA · Remote

$9.0K - $105K/yr

Knowledge and experience in a PBM work environment * Experience with executive protection, event security, or facility security * Strong operational and process development skills What We Offer

Bcbsa

Director, Trade Client Relations

Gaithersburg, MD · Remote

$155K - $175K/yr

Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation * Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and ...

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 Aug 25, 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 a PBM?

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 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.

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 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 August 2026, with employment types broken down into 65% Full Time, 25% Part Time, and 10% Contract. Highlights an 59% In-person, and 41% Remote job distribution, with an average salary of $55,565 per year, or $26.7 per hour.

Manager - PBM/Payer Industry

Optimity Advisors

Washington, DC

Full-time

Re-posted 20 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