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Remote Pbm Pharmacist Jobs in Reston, VA (NOW HIRING)

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$29

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$77

How much do remote pbm pharmacist jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for remote pbm pharmacist in Reston, VA is $63.37, according to ZipRecruiter salary data. Most workers in this role earn between $58.27 and $70.00 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Pbm Pharmacist position, and why are they important?

To thrive as a Remote PBM Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, a current pharmacist license, and experience in pharmacy benefit management (PBM) or managed care settings. Familiarity with pharmacy claims systems, formulary management software, and proficiency in using secure telehealth platforms are crucial technical requirements. Strong attention to detail, problem-solving abilities, and effective remote communication skills help you excel in a virtual team environment. These capabilities ensure accurate medication reviews, efficient claim adjudication, and quality service to patients and healthcare partners from a remote location.

What does a typical workday look like for a Remote PBM Pharmacist?

A typical workday for a Remote PBM Pharmacist involves reviewing and processing prescription drug claims, conducting medication prior authorization reviews, and supporting formulary management decisions. You may spend much of your day collaborating virtually with healthcare providers, insurance representatives, and other pharmacists to resolve medication issues and optimize patient outcomes. Most roles require strong organizational skills and the ability to manage multiple cases simultaneously while maintaining regulatory compliance. You'll often use specialized pharmacy benefit management software and participate in team meetings or case discussions via secure online platforms. The remote nature of the job provides flexibility but also requires self-motivation and effective communication to ensure seamless coordination with your team.

What is a Remote PBM Pharmacist job?

A Remote PBM (Pharmacy Benefit Manager) Pharmacist is a licensed pharmacist who works remotely to manage prescription drug benefits for health plans, insurance companies, and employers. Their responsibilities typically include reviewing medication approvals, ensuring formulary compliance, conducting drug utilization reviews, and providing clinical support. They help optimize medication therapies, reduce costs, and improve patient outcomes. This role often involves collaboration with healthcare providers and insurance teams to ensure appropriate medication use. It requires strong analytical skills, knowledge of pharmacy regulations, and proficiency with PBM software systems.

What are popular job titles related to Remote Pbm Pharmacist jobs in Reston, VA? For Remote Pbm Pharmacist jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Remote Pbm Pharmacist jobs in Reston, VA look for? The top searched job categories for Remote Pbm Pharmacist jobs in Reston, VA are:
What cities near Reston, VA are hiring for Remote Pbm Pharmacist jobs? Cities near Reston, VA with the most Remote Pbm Pharmacist job openings:
Remote Pbm Pharmacist jobs near you
Infographic showing various Remote Pbm Pharmacist job openings in Reston, VA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $131,814 per year, or $63.4 per hour.

Director of Audit - Synergie (Remote)

Bcbsa

Gaithersburg, MD • Remote

$150K - $200K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Job description

The Director of Audit is responsible for overseeing the organization's client and pharmaceutical rebate audit function and ensuring the effectiveness of financial, operational, and contractual compliance controls across the enterprise. This role also supports organizational SOC audits. This role leads the planning and execution of audit programs, identifies risk exposures, and provides actionable recommendations to enhance operational execution, governance, efficiency, and compliance. The Director works closely with executive leadership to promote a strong internal control culture and continuous improvement mindset. In addition, this role supports participants in Synergie pharma audits.

Audit Execution. 35%

  • Lead and oversee pharma and client audits for Synergie.
  • Support SOC audit evidence gathering for annual audit.
  • Ensure audit work adheres to contractual standards and organizational policies.
  • Evaluate the efficiency and effectiveness of internal controls, processes, and risk management frameworks.
  • Coordinate with external auditors and participants to ensure alignment and minimize redundancy.
  • Communicate with participants during pharma rebate audits and obtain evidence requested.

Risk Management and Compliance. 35%

  • Collaborate with Finance, Legal, and IT to strengthen controls around invoicing.
  • Monitor corrective action plans, ensuring timely resolution of audit findings. Advise on new business processes, system implementations, and policy changes from a risk perspective.
  • Assist in development and manage invoicing and audit policies and procedure.

Leadership and Strategy. 30%

  • Develop and execute the annual risk-based audit plan aligned with organizational strategy and regulatory requirements.
  • Provide strategic direction and thought leadership for audit, risk management, and internal control programs.
  • Partner with internal leaders to identify and mitigate emerging risks within invoicing and data governance of invoicing information.
  • Present findings, insights, and progress updates to Invoicing & Audit management.

Requirements:

  • Bachelor's degree in business, healthcare, or other related field; Master's degree preferred.
  • 8+ years of work experience in a health care auditing role, with expertise in health plans, health systems, pharmacy, and managed care or specialty pharmacy. Must include at least 3 years of experience in medical and/or pharmacy drug management at a health plan or PBM.
  • Strong experience managing external audit vendors during audits
  • Strong understanding of audit practices
  • Experience designing and executing audit programs.
  • Strong data management and analytics skills with the ability to manage large data effectively.
  • Strong knowledge of medical and pharmacy rebates, value-based contracts, and invoicing processes.
  • Demonstrated ability to lead cross-functional teams, drive results in a fast-paced environment, and manage client support while ensuring alignment with Synergie's objectives.
  • Ability to develop relationships and influence with internal and external stakeholders
  • Excellent leadership, communication and critical thinking skills and ability to anticipate issues and develop solutions.
  • Must be eligible to work in the United States without need for work visa or residency sponsorship.

The compensation for this role is budgeted between $150,000 and $200,000.

#LI-Remote

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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