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Pharmacy Benefit Manager Jobs in Reston, VA (NOW HIRING)

Barrow Wise Consulting

Pharmacy Consultant

MD · On-site

$90K - $150K/yr

Experience may include pharmacy benefits management operations and contracts, benefit design, pricing models, or clinical pharmacy practices. * Minimum of five (5) years of experience in Government ...

Sedgwick Law

Vice President, Clinical Pharmacy

Washington, DC · On-site

$146K - $193K/yr

Works with pharmacy benefit managers on pricing models, reporting and specific program development such as the development of a pharmacy benefit network (PBN), new formularies and creating new and ...

AArete

Senior Consultant, Pharmacy

Vienna, VA · On-site

$125K - $150K/yr

Demonstrated experience in pharmacy benefit management inclusive of benefit design, formulary strategy, utilization management programs, clinical programs PBM contracting, and analytics and reporting

CenterWell

Consultative Pharmacy Technician

Washington, DC · On-site

$44K - $60K/yr

Pharmacy Benefit Management experience Preferred Qualifications * Mail Order Pharmacy experience * Bilingual in Spanish Workstyle: Remote Work at Home Location: Nationwide Schedule: M-F 8:00-5:00 PM ...

New

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 ...

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Pharmacy Benefit Manager information

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How much do pharmacy benefit manager jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for pharmacy benefit manager in Reston, VA is $20.38, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $20.87 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a pharmacy benefit manager?

To excel as a Pharmacy Benefit Manager (PBM), you need a robust understanding of pharmacy operations, healthcare regulations, and pharmacy benefit plan design, typically supported by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy claims adjudication systems, data analytics tools, and compliance software is commonly required. Strong negotiation, analytical thinking, and relationship management skills help PBMs navigate partnerships with pharmacies, insurers, and clients. These competencies ensure cost-effective, compliant, and efficient management of prescription drug benefits for diverse populations.

What are some common challenges faced by pharmacy benefit managers when negotiating with pharmaceutical manufacturers and pharmacies?

Pharmacy Benefit Managers (PBMs) often navigate complex negotiations with both pharmaceutical manufacturers and pharmacy networks to secure favorable pricing and formulary placement. A key challenge is balancing cost savings for clients while ensuring access to necessary medications for members. PBMs must also stay updated on regulatory changes and manage potential conflicts of interest, all while maintaining transparent relationships with stakeholders. Successfully addressing these challenges requires strong analytical, negotiation, and communication skills, as well as a deep understanding of the pharmaceutical landscape.

What is the difference between Pharmacy Benefit Manager vs Pharmacist?

AspectPharmacy Benefit ManagerPharmacist
CredentialsTypically requires a bachelor's degree in health administration, pharmacy, or related field; certifications varyRequires a Doctor of Pharmacy (Pharm.D.) degree and licensure
Work EnvironmentCorporate offices, insurance companies, healthcare plansCommunity pharmacies, hospitals, clinics
Industry UsageHealth insurance, pharmacy benefit management companiesRetail pharmacy, hospital pharmacy
Primary FocusManaging prescription drug benefits, formulary management, cost controlDispensing medications, patient counseling, medication management

While Pharmacy Benefit Managers focus on managing prescription benefits and controlling costs for insurance providers, pharmacists are healthcare professionals who dispense medications and provide patient care. Both roles are essential in the pharmacy industry but serve different functions within the healthcare system.

What does a pharmacy benefit manager do?

A pharmacy benefit manager (PBM) is a healthcare professional or company that administers prescription drug plans for health insurers, employers, and government programs. They negotiate with drug manufacturers, develop formularies, process claims, and work to control drug costs and improve medication access. PBMs often use data analysis and industry knowledge to optimize pharmacy benefits and ensure efficient medication management.
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Pharmacy Benefit Manager jobs near you
Infographic showing various Pharmacy Benefit Manager job openings in Reston, VA as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $42,384 per year, or $20.4 per hour.

Pharmacy Consultant

Barrow Wise Consulting

MD • On-site

$90K - $150K/yr

Full-time

Re-posted 19 days ago

Job description

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.
Responsibilities:
The Pharmacy Consultant will support Barrow Wise's DHA project and perform the following duties:
  • Provide acquisition lifecycle support for the next-generation TRICARE pharmacy contract.
  • Perform advanced data analysis to inform optimization of the pharmacy benefit design and contract requirements.
  • Develop independent cost estimates for new contracts and contract requirements related to the pharmacy benefit.
  • Provide evaluation advisory services in support of the next generation TRICARE Pharmacy Contract, ensuring proposals meet commercial standards and best practices.
  • Identify opportunities to optimize the delivery of the pharmacy benefit.
  • Facilitate collaboration in the development of DHA policy guidance that is compliant with applicable laws, regs, and policy and reflects industry standards and practices.
  • Support communications about the TRICARE pharmacy benefit to a range of internal and external stakeholders.
  • Develop new Tricare Manual
  • Performing complex modelling and analysis related to the pharmacy program
  • Provide expertise on best practices and innovative approaches in the following areas: PBMs, pharmaceutical companies, pharmaceutical distribution, specialty pharmacy, healthcare systems, clinical pharmacy practices, and management of government and commercial pharmacy benefits.
  • Work remotely.

An ideal candidate has the following:
  • U.S. Citizenship
  • Doctor of Pharmacy degree
  • Minimum of five (5) years related experience working in the pharmacy benefit space. Experience may include pharmacy benefits management operations and contracts, benefit design, pricing models, or clinical pharmacy practices.
  • Minimum of five (5) years of experience in Government administration of pharmacy benefits. DoD or VA experience is preferred.
  • Must possess an active pharmacy license
  • Excellent communication skills

Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LGBT are welcome to apply.
Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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