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Remote Pbm Jobs in California (NOW HIRING)

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...

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Remote Pbm information

See California salary details

$12

$37

$75

How much do remote pbm jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote pbm in California is $37.08, according to ZipRecruiter salary data. Most workers in this role earn between $18.12 and $48.96 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.

What are the most commonly searched types of Pbm jobs in California? The most popular types of Pbm jobs in California are:
What are popular job titles related to Remote Pbm jobs in California? For Remote Pbm jobs in California, the most frequently searched job titles are:
What cities in California are hiring for Remote Pbm jobs? Cities in California with the most Remote Pbm job openings:
Infographic showing various Remote Pbm job openings in California as of July 2026, with employment types broken down into 6% Locum Tenens, 12% Internship, 65% Full Time, 4% Part Time, 3% Contract, and 10% Nights. Highlights an 76% Physical, 3% Hybrid, and 21% Remote job distribution, with an average salary of $77,129 per year, or $37.1 per hour.
Pharmacy Tech, Prior Auth CPhT or PTCB (Remote)

Pharmacy Tech, Prior Auth CPhT or PTCB (Remote)

Molina Healthcare

Long Beach, CA • Remote

$19.75 - $24/hr

Full-time

Posted 13 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 196 frontline employees who took The Breakroom Quiz

161st of 299 rated insurance


Job description

Molina Healthcare is hiring for a Pharmacy Technician who is State Licensed/Certified and/or PTCB certified.
This role is 100% remote, and the hours will be Mon-Fri 10am to 630pm Pacific Standard Time

This role will be reviewing prior authorization requests for medications to be reviewed by the RPh's and or MD's for determination, assisting in determining medical necessity for medications along with assisting with pharmacy claims. 

Highly qualified candidates for this role will have the following experience-

  • 2+ years in a retail setting
  • Prior Authorization experience
  • Must be computer savvy- able to work within several computer systems at once
  • Managed care experience 
  • High level of communication skills, both written and verbal

Essential Job Duties

  • Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
  • Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests.
  • Accurately enters approvals or denials of requests.
  • Facilitates prior authorization requests within established pharmacy policies and procedures.
  • Participates in the development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy practices.
  • Identifies and reports pharmacy departmental operational issues and resource needs to appropriate leadership.
  • Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.
  • Articulates pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed

Required Qualifications

  • At least 2 years pharmacy technician experience, or equivalent combination of relevant education and experience.
  • Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
  • Ability to abide by Molina policies.
  • Ability to maintain attendance to support required quality and quantity of work.
  • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.
  • Excellent verbal and written communication skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Key Words: Pharmacy Technician, Pharm Tech, Tech, National Certification, State License, Certification, Claims, Pharmacy Claims, Pharmacy, PBM, National Certified Pharmacy Technician (CPhT) certification, Medicaid, Medicare, Managed Care, MCO, Exchange, PBM, Pharmacy Benefit Management, Prior Auth


What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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