PBM Specialist
Princeton, NJ · On-site +1
Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some travel - 10% US Citizens or Permanent Residents JOB OVERVIEW The PBA/PBM (SME) is responsible for ...
PBM Specialist
Princeton, NJ · On-site +1
Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some travel - 10% US Citizens or Permanent Residents JOB OVERVIEW The PBA/PBM (SME) is responsible for ...
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Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
Pay: $53.00 per hour Remote Pharmacist - Prior Authorization / PBM Experience Pay Rate: $53.00/hr Start Dates * October 12th * October 26th Training Requirements * Mandatory paid training is held ...
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Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
Pay: $53.00 per hour Remote Pharmacist - Prior Authorization / PBM Experience Pay Rate: $53.00/hr Start Dates * October 12th * October 26th Training Requirements * Mandatory paid training is held ...
Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
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Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
Quick apply
Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
Quick apply
Proposal Strategist / Proposal Writer (Remote) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...
Pharmacy Technician - PBM Services & Analytics
Austin, TX · Remote
$17 - $20.75/hr
Remote = Individuals in this position may work at an approved off-site location. They may be ... Monitor and interpret PBM policies, regulatory changes, and payer requirements to inform internal ...
Pharmacy Technician - PBM Services & Analytics
Austin, TX · Remote
$17 - $20.75/hr
Remote = Individuals in this position may work at an approved off-site location. They may be ... Monitor and interpret PBM policies, regulatory changes, and payer requirements to inform internal ...
Pharmacy Technician - PBM Services & Analytics
Austin, TX · Remote
$17 - $20.75/hr
Remote = Individuals in this position may work at an approved off-site location. They may be ... Monitor and interpret PBM policies, regulatory changes, and payer requirements to inform internal ...
Pharmacy Technician - PBM Services & Analytics
Austin, TX · Remote
$17 - $20.75/hr
Remote = Individuals in this position may work at an approved off-site location. They may be ... Monitor and interpret PBM policies, regulatory changes, and payer requirements to inform internal ...
REMOTE Account Manager (PBM)
Williamsville, NY · On-site +1
$28.85 - $38.46/hr
Pharmacy Benefits Management (PBM) experience. * Strong organizational, multitasking, and communication skills. * Ability to work collaboratively in a fast-paced environment. Skills * Pharmacy ...
REMOTE Account Manager (PBM)
Williamsville, NY · On-site +1
$28.85 - $38.46/hr
Pharmacy Benefits Management (PBM) experience. * Strong organizational, multitasking, and communication skills. * Ability to work collaboratively in a fast-paced environment. Skills * Pharmacy ...
Senior CSM, PBM
Miami, FL · Remote
$145K/yr
This role requires a deep understanding of PBM services, strong communication skills, and the ... Remote or Dallas, TX * Important characteristics of ideal candidate: Detail-oriented, consultative ...
Senior CSM, PBM
Miami, FL · Remote
$145K/yr
This role requires a deep understanding of PBM services, strong communication skills, and the ... Remote or Dallas, TX * Important characteristics of ideal candidate: Detail-oriented, consultative ...
This role requires deep knowledge of the PBM and healthcare benefits landscape, the SlateRx ... Remote with travel to client locations, internal business meetings, and other locations as needed.
This role requires deep knowledge of the PBM and healthcare benefits landscape, the SlateRx ... Remote with travel to client locations, internal business meetings, and other locations as needed.
This role requires deep knowledge of the PBM and healthcare benefits landscape, the SlateRx ... Remote with travel to client locations, internal business meetings, and other locations as needed.
This role requires deep knowledge of the PBM and healthcare benefits landscape, the SlateRx ... Remote with travel to client locations, internal business meetings, and other locations as needed.
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
Coordinate contract execution with new HIT vendors with Humana's PBM * Help manage existing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Coordinate contract execution with new HIT vendors with Humana's PBM * Help manage existing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
Quick apply
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
Quick apply
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
Quick apply
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
... PBM), and healthcare payer environment. This role serves as the primary liaison between business ... This is a fully remote, full time engagement with an anticipated duration of ten months and an ...
Remote Pbm information
See salary details
$18.49 is the 25th percentile. Wages below this are outliers.
$13.22 - $18.99
27% of jobs
$18.99 - $24.76
8% of jobs
$24.76 - $30.53
5% of jobs
The median wage is $33.59 / hr.
$30.53 - $36.30
17% of jobs
$36.30 - $42.07
14% of jobs
$45.19 is the 75th percentile. Wages above this are outliers.
$42.07 - $47.84
6% of jobs
$47.84 - $53.61
7% of jobs
$53.61 - $59.38
5% of jobs
$59.38 - $65.14
4% of jobs
$65.14 - $70.91
3% of jobs
$70.91 - $76.68
2% of jobs
$13
$37
$76
How much do remote pbm jobs pay per hour?
As of Aug 16, 2026, the average hourly pay for remote pbm in the United States is $37.87, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $50.00 per hour, depending on experience, location, and employer.
What is a remote PBM?
Remote PBMs, or Remote Pharmacy Benefit Managers, are professionals who manage prescription drug benefits for health plans, employers, and other groups from a remote location. They are responsible for ensuring that members receive appropriate, cost-effective medications while balancing the needs of both patients and payers. Remote PBMs work with pharmacies, insurance companies, and healthcare providers to process claims, negotiate pricing, and implement drug formulary policies. This role can be performed from home or other off-site locations using secure digital tools and platforms.
What are the key skills and qualifications needed to thrive as a remote Pharmacy Benefit Manager (PBM), and why are they important?
To thrive as a Remote Pharmacy Benefit Manager (PBM), you need a strong background in pharmacy, healthcare administration, or a related field, often supported by relevant degrees or certifications. Familiarity with pharmacy benefit management software, claims processing systems, and data analytics tools is typically required. Exceptional attention to detail, analytical thinking, and effective communication are crucial soft skills for collaborating with stakeholders and resolving complex issues remotely. These skills ensure accurate benefit administration, regulatory compliance, and positive outcomes for clients and patients in a remote work environment.
What are some common challenges faced by remote PBM professionals, and how can they be addressed?
Remote PBM professionals often encounter challenges such as maintaining effective communication with team members, staying updated on regulatory changes, and managing sensitive health information securely. To address these, it's important to leverage collaboration tools, participate in regular virtual meetings, and stay engaged with ongoing training. Additionally, adhering to best practices for data privacy and fostering strong relationships with both clients and pharmacies can help ensure smooth operations and job satisfaction.
What is the difference between Remote Pbm vs Remote Pharmacovigilance Associate?
| Aspect | Remote Pbm | Remote Pharmacovigilance Associate |
|---|---|---|
| Required Credentials | Pharmacy or healthcare background, certifications like CPR or pharmacy license | Healthcare degree, certifications in pharmacovigilance or drug safety |
| Work Environment | Remote, healthcare or pharmacy settings | Remote, pharmaceutical or biotech companies |
| Industry Usage | Pharmacy, healthcare providers, clinical settings | Pharmaceutical industry, drug safety departments |
| Common Search/Comparison | Remote Pbm vs Remote Pharmacovigilance Associate |
Remote Pbm roles focus on pharmacy benefit management, involving healthcare and insurance processes, while Remote Pharmacovigilance Associate positions are centered on drug safety and monitoring adverse effects in the pharmaceutical industry. Both roles are remote, require healthcare-related credentials, and are used within healthcare and pharma sectors, but they serve different functions within the industry.
More about Remote Pbm jobs
What cities are hiring for Remote Pbm jobs?
Cities with the most Remote Pbm job openings:
What are the most commonly searched types of Pbm jobs?
The most popular types of Pbm jobs are:
What states have the most Remote Pbm jobs?
States with the most job openings for Remote Pbm jobs include:
What job categories do people searching Remote Pbm jobs look for?
The top searched job categories for Remote Pbm jobs are:
Full-time
Re-posted 24 days ago
Job description
Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert -
Remote work with some travel - 10%
US Citizens or Permanent Residents
JOB OVERVIEW
The PBA/PBM (SME) is responsible for supporting numerous aspects of the design, development and implementation (DDI) followed by maintenance and operations (M&O) of a new PBAmodule as part of Medicaid Enterprise System (MES) Modernization Program. This role provides support for all aspects of the PBA effort with the emphasis on ensuring all business requirements are met, all business processes are established and the new PBAmodule is successfully integrated with all components of State.
The PBA/PBM SME will work with various team members, stakeholders, vendors and the provider community to ensure successful delivery aligned with CMS and State requirements, funding rules, and State priorities.The role works closely with the current operations staff, the PBA Vendor, State Associate Director, Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful implementation of the new PBA Module. The PBA/PBM SME will operate under the direction of the State Associate Director during DDI and the Medicaid Manager during M&O.
Key RESPONSIBILITIES
Experience with PBA, PBR, FWA, and PCM.
•Utilize strong Medicaid PBA processing knowledgeto support the Project Manager inguiding/driving the DDI.
•Utilize vast historical PBA/PBM knowledge to lead discussions.
•Provide PBA/PBM expertise on all aspects of the DDI and M&O efforts.
•Review all PBA deliverables and ensure requirements are met in conjunction with the Project Manager.
•Provide subject matter expertise in Pharmacy Benefit Administration orManagement(PBA/PBM), including cost avoidance strategies and pharmacy transparency dashboards, and collaborate with the DDI vendor to design and implement these capabilities.
•Support cross-module planning to address data integration, shared services, and enterprise alignment.
•Assist in facilitating cross team partnership to ensure interoperability and architectural consistency.
•Support the testing efforts to ensure compliance.
•Provide management recommendations throughout the project.
•Identify issues and escalate as appropriate.
•Ensure certification outcomes are clearly identifiedand addressed through all stages of the DDI.
•Support CMS certification processes and reviews.
•Support all OCM activities
•Support all internal stakeholder activities.
REQUIRED SKILLS AND EXPERIENCE
Qualifications
Required:
•Bachelor's degree in Business, Public Administration, a related field or comparable work experience.
•Strong understanding of Medicaid programs and CMS oversight.
•Minimum of six years of extensive PBA or PBMexperience.
•Experience with engaging large stakeholder groups.
•Excellent organization, analytic and communication skills.
Preferred:
•Experience with State Medicaid modernization initiatives.
•Experience with engaging with the Medicaid Provider Community.
•Familiarity with CMS MITA framework and APD/CPR processes.
•Familiarity with Gainwell's MMIS system
Remote work with some travel - 10%
US Citizens or Permanent Residents
JOB OVERVIEW
The PBA/PBM (SME) is responsible for supporting numerous aspects of the design, development and implementation (DDI) followed by maintenance and operations (M&O) of a new PBAmodule as part of Medicaid Enterprise System (MES) Modernization Program. This role provides support for all aspects of the PBA effort with the emphasis on ensuring all business requirements are met, all business processes are established and the new PBAmodule is successfully integrated with all components of State.
The PBA/PBM SME will work with various team members, stakeholders, vendors and the provider community to ensure successful delivery aligned with CMS and State requirements, funding rules, and State priorities.The role works closely with the current operations staff, the PBA Vendor, State Associate Director, Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful implementation of the new PBA Module. The PBA/PBM SME will operate under the direction of the State Associate Director during DDI and the Medicaid Manager during M&O.
Key RESPONSIBILITIES
Experience with PBA, PBR, FWA, and PCM.
•Utilize strong Medicaid PBA processing knowledgeto support the Project Manager inguiding/driving the DDI.
•Utilize vast historical PBA/PBM knowledge to lead discussions.
•Provide PBA/PBM expertise on all aspects of the DDI and M&O efforts.
•Review all PBA deliverables and ensure requirements are met in conjunction with the Project Manager.
•Provide subject matter expertise in Pharmacy Benefit Administration orManagement(PBA/PBM), including cost avoidance strategies and pharmacy transparency dashboards, and collaborate with the DDI vendor to design and implement these capabilities.
•Support cross-module planning to address data integration, shared services, and enterprise alignment.
•Assist in facilitating cross team partnership to ensure interoperability and architectural consistency.
•Support the testing efforts to ensure compliance.
•Provide management recommendations throughout the project.
•Identify issues and escalate as appropriate.
•Ensure certification outcomes are clearly identifiedand addressed through all stages of the DDI.
•Support CMS certification processes and reviews.
•Support all OCM activities
•Support all internal stakeholder activities.
REQUIRED SKILLS AND EXPERIENCE
Qualifications
Required:
•Bachelor's degree in Business, Public Administration, a related field or comparable work experience.
•Strong understanding of Medicaid programs and CMS oversight.
•Minimum of six years of extensive PBA or PBMexperience.
•Experience with engaging large stakeholder groups.
•Excellent organization, analytic and communication skills.
Preferred:
•Experience with State Medicaid modernization initiatives.
•Experience with engaging with the Medicaid Provider Community.
•Familiarity with CMS MITA framework and APD/CPR processes.
•Familiarity with Gainwell's MMIS system