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Remote Pbm Jobs in Rhode Island (NOW HIRING)

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Remote Pbm information

See Rhode Island salary details

$13

$37

$76

How much do remote pbm jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote pbm in Rhode Island is $37.83, according to ZipRecruiter salary data. Most workers in this role earn between $18.49 and $49.95 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?

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.

More about Remote Pbm jobs

What are the most commonly searched types of Pbm jobs in Rhode Island?

The most popular types of Pbm jobs in Rhode Island are:

What are popular job titles related to Remote Pbm jobs in Rhode Island?

For Remote Pbm jobs in Rhode Island, the most frequently searched job titles are:

What job categories do people searching Remote Pbm jobs in Rhode Island look for?

The top searched job categories for Remote Pbm jobs in Rhode Island are:

What cities in Rhode Island are hiring for Remote Pbm jobs?

Cities in Rhode Island with the most Remote Pbm job openings:

Remote Pbm jobs near you
Infographic showing various Remote Pbm job openings in Rhode Island as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $78,692 per year, or $37.8 per hour.

Clinical Pharmacist Advisor - Medicare

VIVA USA INC

Woonsocket, RI • On-site, Remote

$113K - $135K/yr

Contractor

Re-posted 9 days ago

Job description

Fully remote (never coming onsite)
Description:
Position Summary
As a Clinical Pharmacist Advisor Medicare you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
Duties
The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or fax requests for pertinent information, providing clear and concise documentation, and contacting providers when necessary to obtain clinical details for case decisions. It requires adherence to work instructions and Medicare guidelines to ensure proper case processing. The position also demands compliance with CMS-mandated timelines, as well as departmental productivity and quality standards. Clinical judgment and knowledge must be applied effectively, utilizing drug compendia resources, evolving work instructions, and CMS Medicare guidance. Additionally, the role includes participating in development discussions and receiving feedback from the direct supervisor to support continuous improvement.
Experience
Previous experience in Managed Care/PBM environment (preferred).
Education
Bachelor's degree in pharmacy or Pharm D. required. Must have an active license in good standing in state of residence.
Notes:
Training is M-F from 9am-5:30pm EST
Fully remote (never coming onsite)
Safety Sensitive
Shift: Business Hours are 7am - 8pm EST Monday - Friday and 7am - 430pm EST Sat and Sunday. Set Rotation.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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