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Remote Pbm Jobs in Silver Spring, MD (NOW HIRING)

Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters ... Desired: - Experience in PBM and Healthcare is highly preferred. - Experience with Medicare Part D ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters ... Desired: - Experience in PBM and Healthcare is highly preferred. - Experience with Medicare Part D ...

Key Responsibilities · Support acquisition lifecycle activities including market research, PBM RFI ... remote work & VPN access requirements when collaborating with business partners. Minimum ...

Remote We are seeking a skilled MongoDB Analyst to manage, analyze, and optimize large-scale NoSQL ... solving skills - PBM Experience Preferred Qualifications - Experience with MongoDB Atlas ...

... 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 ...

Senior Cloud Engineer

Arlington, VA · On-site +1

$64.25 - $85.75/hr

This role can be on-site in Arlington, VA, hybrid or remote. How You Will Contribute * Lead the ... PBM empowers employees to be entrepreneurial, to innovate, and to continually drive transformation.

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Remote Pbm information

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How much do remote pbm jobs pay per hour?

As of May 29, 2026, the average hourly pay for remote pbm in Silver Spring, MD is $38.73, according to ZipRecruiter salary data. Most workers in this role earn between $18.93 and $51.13 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 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 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 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 Silver Spring, MD? The most popular types of Pbm jobs in Silver Spring, MD are:
What are popular job titles related to Remote Pbm jobs in Silver Spring, MD? For Remote Pbm jobs in Silver Spring, MD, the most frequently searched job titles are:
What job categories do people searching Remote Pbm jobs in Silver Spring, MD look for? The top searched job categories for Remote Pbm jobs in Silver Spring, MD are:
What cities near Silver Spring, MD are hiring for Remote Pbm jobs? Cities near Silver Spring, MD with the most Remote Pbm job openings:

SQL Analyst

VIS IT Solutions Inc

Dulles, VA • Remote

Contractor

Posted 12 days ago


Job description

Hi,

Please find the job description below

Role: SQL Analyst

Location: Remote

Job Description

We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data validation, and issue analysis. The candidate will be responsible for manually validating eligibility files prior to ingestion and collaborating closely with the Customer EDI Team to analyze and report data issues.

Key Responsibilities

- Develop, optimize, and execute complex SQL queries to validate eligibility and related PBM data

- Perform manual validation of eligibility files before they are loaded into downstream systems

- Analyze data discrepancies, eligibility errors, and file-related issues

- Document findings clearly and report issues to the Customer EDI Team in a timely manner

- Support root cause analysis for eligibility failures or mismatches

- Ensure data accuracy, completeness, and compliance with PBM eligibility requirements

- Work closely with EDI, operations, and technical teams to resolve data issues

Qualifications

Required Skills and Qualifications

- Strong hands-on experience with SQL (complex joins, subqueries, aggregations, validations)

- Proven experience in PBM Eligibility processing and validation

- Solid understanding of eligibility file formats and data flows in PBM environments

- Experience performing manual data validation and reconciliation

- Strong analytical and problem-solving skills

- Ability to clearly communicate issues and findings to technical and business teams

Preferred Qualifications

- Prior experience working with EDI teams, especially PBM-related EDI processes

- Familiarity with eligibility file standards (e.g., 834 or PBM-specific formats)

- Experience supporting healthcare or pharmacy benefit systems

- Attention to detail and ability to work with large datasets

Soft Skills

- Strong communication and documentation skills

- Ability to work independently and manage priorities

- Collaborative mindset when working with cross-functional teams