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Pharmacy Benefits Manager Jobs (NOW HIRING)

Onco360

Pharmacy Benefits Verification Supervisor

Waltham, MA · On-site

$70.75 - $83.25/hr

Pharmacy Benefits Verification Supervisor Needed in Waltham, MA! Onco360 Pharmacy is a unique ... Assists manager in day-to-day pharmacy operations and in implementing new procedures to ensure that ...

Onco360

Pharmacy Benefits Verification Supervisor

Waltham, MA · On-site

$70 - $82.50/hr

Pharmacy Benefits Verification Supervisor Needed in Waltham, MA! Onco360 Pharmacy is a unique ... Assists manager in day-to-day pharmacy operations and in implementing new procedures to ensure that ...

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How much do pharmacy benefits manager jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for pharmacy benefits manager in the United States is $67.58, according to ZipRecruiter salary data. Most workers in this role earn between $62.50 and $73.56 per hour, depending on experience, location, and employer.

What is the difference between Pharmacy Benefits Manager vs Pharmacist?

AspectPharmacy Benefits ManagerPharmacist
CredentialsTypically requires a bachelor's degree in health administration, pharmacy, or related field; certifications varyRequires a Doctor of Pharmacy (PharmD) degree and licensure
Work EnvironmentCorporate offices, insurance companies, healthcare plansCommunity pharmacies, hospitals, clinics
Employer & IndustryHealth insurance companies, pharmacy benefit management firmsRetail pharmacies, hospitals, healthcare facilities

Pharmacy Benefits Managers focus on managing prescription drug benefits, negotiating with pharmacies, and designing formularies, while Pharmacists dispense medications and provide patient care. Both roles are essential in the pharmacy industry but differ in responsibilities, work settings, and required credentials.

What skills and qualifications are needed to be a pharmacy benefits manager?

To thrive as a Pharmacy Benefits Manager, you need a deep understanding of pharmacy benefit design, healthcare regulations, and formulary management, typically supported by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy benefit management (PBM) software, claims processing systems, and industry compliance tools is crucial. Strong analytical thinking, negotiation skills, and effective communication set top performers apart in this role. These skills are vital for optimizing prescription drug plans, controlling costs, and ensuring compliance while delivering quality healthcare outcomes.

What challenges do pharmacy benefits managers face when working with health plans and pharmacy networks?

Pharmacy Benefits Managers (PBMs) often navigate complex negotiations between health plans, pharmacies, and drug manufacturers. A common challenge is balancing cost containment for clients with ensuring access to necessary medications for members. PBMs must also stay current on changing regulations and formulary management while maintaining strong relationships with network pharmacies and resolving discrepancies in claims processing. Effective communication and analytical skills are essential for addressing these challenges and driving positive outcomes.

What is a pharmacy benefits manager?

A Pharmacy Benefits Manager (PBM) is a third-party administrator that manages prescription drug benefits on behalf of health insurers, employers, and other payers. PBMs negotiate with drug manufacturers and pharmacies to control drug spending, process prescription drug claims, and create formularies, which are lists of covered medications. Their goal is to help manage costs, improve medication access, and ensure the appropriate use of prescription drugs for patients. PBMs play a key role in the healthcare system by influencing drug prices, pharmacy reimbursement, and patient access to medications.
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Pharmacy Benefits Manager jobs near you
Infographic showing various Pharmacy Benefits Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $140,563 per year, or $67.6 per hour.

Pharmacy Benefits Manager

Sentara Healthcare

Virginia Beach, VA • On-site

$61.75 - $72.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 411 frontline employees who took The Breakroom Quiz

494th of 887 rated healthcare providers

Job description

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Manager, Managed Care Contracting
The Manager, Managed Care leads medical and pharmacy managed care contracting strategies and activities for assigned third-party payors, supporting Sentara Healthcare provider divisions. This role partners with clinical, pharmacy, and managed care leadership to optimize reimbursement, ensure contract performance, and align financial and operational objectives. The Manager, Managed Care serves as the primary liaison for a portfolio of payor relationships, overseeing contract implementation, issue resolution, and ongoing performance. This role supports data analysis and facilitates coordination of day-to-day managed care operations, including patient access, claims adjudication, and care management.
Hybrid position at 1300 Sentara Park, Virginia Beach, Virginia --two days remote and three days on site at Sentara Park.
There is an opportunity for Richmond (Virginia) residents to work same schedule at Sentara Health Plan in Richmond. Required to work each Wednesday at Sentara Park, Virginia Beach.
Education
  • Bachelor's degree (Required)

Experience
  • 3 years of experience in managed care contracting (Required)

  • 3 years of experience in healthcare (Required)

We are seeking demonstrated experience in pharmacy managed care, including:
  • Understanding of pharmacy benefit management (PBM) structures and reimbursement models (e.g., AWP, MAC, NADAC)

  • Experience negotiating pharmacy reimbursement terms and specialty pharmacy agreements

  • Knowledge of formulary management, utilization management, and drug pricing strategies

Strong financial acumen with experience in contract modeling and reimbursement analysis
Knowledge of healthcare regulations, payor requirements, and value-based care arrangements preferred
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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