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Pbm Jobs (NOW HIRING)

Alivia Health

PR · On-site

Guaynabo, PR El Analista de Auditoría PBM es responsable de auditar, analizar y dar seguimiento a las cuentas por cobrar relacionadas con Pharmacy Benefit Managers (PBM) en una farmacia ...

ProAct

PBM Vendor Partner Analyst

East Syracuse, NY · On-site

The PBM Vendor Partner Analyst is a member of the ProAct Partner Services reporting to the Director of Partner Services This role will be responsible for integration, configuration, testing, and ...

Interra Health

Senior Account Manager, PBM Partnerships

$103K - $136K/yr

Interra Health is looking for a Senior Account Manager, PBM Partnerships to own and grow our most strategically important PBM relationships. This is a high-ownership, high-visibility commercial role ...

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Alivia Health

PR · On-site

Guaynabo, PR PBM Claims Analyst is responsible for auditing, analyzing, and tracking accounts receivable related to Pharmacy Benefit Managers (PBMs) at a specialty pharmacy. This role focuses ...

Marpai Administrators LLC

Reporting Analyst, PBM

Cary, NC · Remote

$65K - $85K/yr

The Reporting Analyst, PBM reports to the Account Executive, MarpaiRx and is responsible for developing, maintaining, and validating pharmacy claims reporting, operational dashboards, and client ...

Rightway

Senior CSM, PBM

Miami, FL · Remote

This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts. WHAT YOU'LL DO: * Responsible for the overall relationship with ...

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How much do pbm jobs pay per year?

As of Jun 11, 2026, the average yearly pay for pbm in the United States is $53,410.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $60,000.00 per year, depending on experience, location, and employer.

How much do PBMs make annually?

Pharmacy Benefit Managers (PBMs) typically earn an average annual salary ranging from $80,000 to $130,000, depending on experience, location, and role within the company. Senior positions or specialized roles can earn higher salaries, often exceeding $150,000. Compensation may also include bonuses and benefits related to healthcare and insurance management tools.

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.

What jobs pay $10,000 a month without a degree?

High-paying jobs that can reach $10,000 a month without a degree include roles such as real estate brokers, sales managers, commercial pilots, and skilled trades like electricians or plumbers. Success in these fields often depends on experience, certifications, or licensing, rather than formal education, and they may require strong sales skills, technical knowledge, or entrepreneurial effort.

What is the best PBM to work for?

Working as a Pharmacy Benefit Manager (PBM) involves roles in pharmacy benefits administration, requiring knowledge of healthcare policies, insurance processes, and often certifications like the Certified Pharmacy Benefit Specialist (CPBS). The best PBM employer depends on factors such as company culture, benefits, and career growth opportunities, with major firms like CVS Caremark, Express Scripts, and Optum serving as prominent options in the industry.

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 use specialized software to perform their duties.
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What cities are hiring for Pbm jobs? Cities with the most Pbm job openings:
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Pbm jobs near you
Infographic showing various Pbm job openings in the United States as of June 2026, with employment types broken down into 95% Full Time, 2% Part Time, and 3% Contract. Highlights an 47% Physical, 7% Hybrid, and 46% Remote job distribution, with an average salary of $53,410 per year, or $25.7 per hour.

PBM Claims Analyst - Guaynabo PR

Alivia Health

PR • On-site

Full-time

Posted 11 hours ago

Job description

Ubicación: Guaynabo, PR

El Analista de Auditoría PBM es responsable de auditar, analizar y dar seguimiento a las cuentas por cobrar relacionadas con Pharmacy Benefit Managers (PBM) en una farmacia especializada. Este rol está enfocado principalmente en la revisión y validación de pagos, identificación de discrepancias, análisis deo pagos no recibidos. Su función principal es auditar, documentar y referir hallazgos a los equipos.


Responsabilidades:

  • Auditar diariamente las cuentas por cobrar relacionadas con PBM para identificar balances pendientes.
  • Analizar reclamaciones pagadas, parcialmente pagadas o no pagadas; según lo procesado en el “View Response”.
  • Revisar remesas, reportes y archivos electrónicos de PBM para validar exactitud de los pagos.
  • Identificar discrepancias entre lo facturado, lo pagado y lo esperado contractualmente.
  • Documentar de forma clara y detallada los hallazgos de auditoría en los sistemas establecidos.
  • Referir casos de errores, pagos parciales o ajustes requeridos al equipo Operaciones.
  • Dar seguimiento a los casos referidos hasta su resolución, sin ejecutar el reprocesamiento.
  • Preparar listados y reportes de cuentas PBM auditadas y referidas y discutirlo con su Supervisor.
  • Identificar patrones recurrentes de errores, retrasos o incumplimientos por parte de los PBM.
  • Comunicar tendencias y riesgos financieros al Supervisor o Gerente correspondiente.
  • Apoyar auditorías internas y externas relacionadas con cuentas por cobrar PBM.


Requisitos:

  • Grado asociado en Facturación y Codificación Médica, Administración de Servicios de Salud, Asistente Médico Administrativo, Récord Médico o campos relacionados en el área de la salud.


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