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Remote Pbm Jobs (NOW HIRING)

Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

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 ...

Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

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 ...

OneDigital

PBM RFP & Pricing Lead - Remote

Position Overview We are seeking a highly experienced PBM RFP & Pricing Lead to own and enhance our end-to-end pharmacy RFP process. This is a hands-on, strategic role focused on product ownership of ...

Rightway

Senior CSM, PBM

Miami, FL · Remote

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 ...

Imh

Senior Partner, PBM Compliance

Murray, UT · On-site +1

... PBM) company. This position is accountable for highly complex, high-risk portfolios using ... This position is primarily remote with occasional need for business travel. Candidates within ...

Southern Scripts

Account Executive - PBM

Dallas, TX · Remote

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...

Intermountain Health

... PBM) company. This position is accountable for highly complex, high-risk portfolios using ... This position is primarily remote with occasional need for business travel. Candidates within ...

Southern Scripts

Account Executive - PBM

Dallas, TX · Remote

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one. Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ...

Rightway

Client Success Manager, PBM

Dallas, TX · On-site +1

$90K - $125K/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 ...

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How much do remote pbm jobs pay per hour?

As of Jun 15, 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 Are Remote PBM Jobs?

Remote PBM jobs allow you to work from home while managing a pharmacy benefit management program. As a remote PBM analyst, consultant, or manager, your duties may include analyzing data to decide how to improve the program, using virtual office software to coordinate with assistants and other coworkers, negotiating to help lower pharmaceutical drug prices, and otherwise keeping a healthcare benefits program running. PBM interfaces support things like claims intake and pre-processing, clinical and medical management, analytics, and related systems to help ensure centralized control and management of the program. So, the ability to multitask and manage diverse processes is essential to success in these roles.

What are Remote PBMs?

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 (Pharmacy Benefit Manager) 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?

AspectRemote PbmRemote Pharmacovigilance Associate
Required CredentialsPharmacy or healthcare background, certifications like CPR or pharmacy licenseHealthcare degree, certifications in pharmacovigilance or drug safety
Work EnvironmentRemote, healthcare or pharmacy settingsRemote, pharmaceutical or biotech companies
Industry UsagePharmacy, healthcare providers, clinical settingsPharmaceutical industry, drug safety departments
Common Search/ComparisonRemote 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.

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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:
Remote Pbm jobs near you

PBM Specialist

Associates Systems LLC

Princeton, NJ • Remote

Other

Posted 22 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
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

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