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Remote Pbm Jobs in Chicago, IL (NOW HIRING)

Bcbsa

Director, Trade Client Relations

Chicago, IL · Remote

$155K - $175K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... PBM industry, Medicaid, Medicare, and health plans * Experience with contract language and risk mitigation concepts Travel Requirements: Up to 10% of the time. Work is generally performed in a remote ...

C4 Technical Services

Be Seen First

Member Services Specialist - Remote

Chicago, IL · Remote

$18/hr

  • Medical

  • Dental

Remote (Work From Home) Job Type: Full-Time, Seasonal Contract Duration: Approximately 5 Months ... Contact center or call center experience. * Healthcare, Pharmacy Benefit Management (PBM), or ...

Allied

Health Plans Reporting Specialist I (Remote)

Chicago, IL · On-site +1

$20 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Obtains, secures, and formats non-integrated Pharmacy Benefit Manager (PBM) data and prior ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

Bcbsa

Director of Audit - Synergie (Remote)

Chicago, IL · Remote

$150K - $200K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... 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 ...

CVS Health

Lead Director, Pharma Contracting

Northbrook, IL · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... PBM and managed care expertise, with a focus on the management of pharmacy budgets related to ... This position will be located out of our offices in Northbrook, IL or Bloomington, MN on a remote ...

All JobsPbm JobsRemote Pbm JobsRemote Pbm Jobs in Chicago, IL

Remote Pbm information

See Chicago, IL salary details

$13

$38

$78

How much do remote pbm jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote pbm in Chicago, IL is $38.87, according to ZipRecruiter salary data. Most workers in this role earn between $19.00 and $51.32 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 Chicago, IL?

The most popular types of Pbm jobs in Chicago, IL are:

What are popular job titles related to Remote Pbm jobs in Chicago, IL?

For Remote Pbm jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Remote Pbm jobs in Chicago, IL look for?

The top searched job categories for Remote Pbm jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Remote Pbm jobs?

Cities near Chicago, IL with the most Remote Pbm job openings:

Remote Pbm jobs near you
Infographic showing various Remote Pbm job openings in Chicago, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $80,846 per year, or $38.9 per hour.

Remote Insurance Verification Specialist, Specialty (Michigan)

Walgreens

Deerfield, IL • On-site, Remote

$16.50 - $22/hr

Full-time

Medical

Re-posted 20 days ago

Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,201 frontline employees who took The Breakroom Quiz

98th of 112 rated pharmacies

Job description


Job Summary:
Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company's products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service.
Job Responsibilities:
  • Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
  • Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
  • Requests and loads PBM and/or Major Medical insurance plans.
  • Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.
  • Assists physicians in the prior authorization process including initiation of prior authorizations.
  • May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.
  • Verifies benefits for Major Medical via online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.
  • Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose best solutions and resolves customer and plan covers.
  • Facilitates the reimbursement windshields for PBM major medical claims.
  • Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs.
  • Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.
  • Manages Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support.
  • May administer order queue such as Submission Problems or Waiting for Payment.
  • Documents contact interactions, records details, complaints, comments, and actions taken.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
External Basic Qualifications
  • High school diploma/GED
  • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry
  • Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
  • Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).

Preferred Qualifications
  • Experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc.
  • Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
  • Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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