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Remote Pbm Jobs in Ohio (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 ...

... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The compensation for this role is budgeted between $150,000 and $200,000. #LI-Remote This is the ...

Verification Pharmacist - FuzeRx

Sharonville, OH ยท On-site +1

$53.50 - $64.25/hr

Previous experience with PV1, order entry verification, centralized pharmacy verification, or remote pharmacist workflows. * Experience in health-system, specialty, mail-order, or PBM pharmacy ...

Remote Pbm information

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 Ohio? The most popular types of Pbm jobs in Ohio are:
What cities in Ohio are hiring for Remote Pbm jobs? Cities in Ohio with the most Remote Pbm job openings:
Infographic showing various Remote Pbm job openings in Ohio as of July 2026, with employment types broken down into 6% Locum Tenens, 12% Internship, 65% Full Time, 5% Part Time, 2% Contract, and 10% Nights. Highlights an 76% Physical, 3% Hybrid, and 21% Remote job distribution.

Pharmacy Concierge Support Technician

Communicarehealth

Blue Ash, OH โ€ข Remote

$16.75 - $20.50/hr

Full-time

Posted 6 days ago


Job description

Job Address:

10123 Alliance Road, Suite 320 Blue Ash, OH 45242


Job Summary:
The Pharmacy Technician will provide direct support to The PBM Services Pharmacy Concierge team by coordinating and facilitating alternative channel pharmacy sourcing for patients and members. This role plays a key part in ensuring patients gain timely and cost-effective access to medications through non-traditional pharmacy channels including international mail-order, Manufacturer patient assistance programs, foundations, or other direct-distribution networks.

This position requires a detail-oriented, proactive individual with strong communication skills and a working knowledge of pharmacy operations and benefits.

This is remote from 11am-7pm

Job Duties and Responsibilities:

  • Serve as a liaison between patients, providers, pharmacies, and internal PBM teams to coordinate alternative sourcing solutions.

  • Identify and verify appropriate sourcing channels for non-covered, high-cost, or limited-distribution medications.

  • Support the Pharmacy Concierge team in preparing cost comparisons, savings estimates, reports, and invoices.

  • Track and document sourcing outcomes, patient preferences, and turnaround times in the case management system.

  • Maintain up-to-date knowledge of trusted alternative pharmacy vendors, pricing structures, and service offerings.

  • Follow up with pharmacies and providers to ensure prescriptions are filled correctly and timely.

  • Help troubleshoot access barriers and assist members in navigating the sourcing and delivery process.

  • Uphold pharmacy compliance standards and confidentiality requirements (e.g., HIPAA)

  • Contribute to the refinement of workflows and identify opportunities to improve patient experience and service efficiency.

  • Represent the department at meetings, committees, and events as requested.

  • Maintain positive attitude and a helpful approach to customers and clients.

  • All other duties as assigned.

Skills and Abilities:

  • Two plus years of experience in a pharmacy technician or care coordination role (retail, mail order, specialty, or PBM).

  • Familiarity with pharmacy benefit structures, prior authorization processes, and third-party billing.

  • Strong customer service, organizational, and written/verbal communication skills.

  • Comfort working with digital tools including EHR, Rx platforms, Excel, and CRM software.

  • Ability to work independently and manage multiple patient cases with urgency and empathy.

  • Independent worker, good interpersonal skills, excellent verbal and written communications skills, works efficiently to meet deadlines.

  • Ability to prioritize, problem solve, and multitask. Performs tasks accurately. Responds timely to key stakeholders.

  • Ability to maintain strict confidentiality.

Education:
Associate or Bachelor's degree.

Experience and Training:

  • 2 plus years' Experience as a Pharmacy Technician, LPN, or Position Title (in lieu of education) (Required).

  • PBM or specialty pharmacy experience (Required)

  • Experience assisting patients with accessing financial, community and/or pharmaceutical resources for specialty drugs. (Preferred).

  • Experience working with underserved individuals and/or communities in a healthcare capacity. (Preferred).

Why Join Us?
This is an opportunity to help transform access to affordable medications for patients across the country by playing a hands-on role in an innovative, service-oriented PBM model. You'll be part of a growing team that values honesty, excellence, accountability, respect, and teamwork.

#LI-Remote