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Remote Pharmacist - Prior Authorization | $53/HR

Charleston, WV · Remote

$53 - $55/hr

PBM, managed care, health plan, or specialty pharmacy experience preferred * Strong clinical documentation and communication skills * Ability to work independently in a remote environment * Previous ...

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VIS IT Solutions Inc

Synon Developer

Dulles, VA · Remote

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 ...

VIS IT Solutions Inc

SYNON Developer

Dulles, VA · Remote

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 ...

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Remote Pbm information

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How much do remote pbm jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote pbm in the United States is $37.87, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $50.00 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.

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Cities with the most Remote Pbm job openings:

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Remote Pbm jobs near you
Infographic showing various Remote Pbm job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 93% Full Time, 2% Part Time, and 4% Contract. Highlights an 60% Physical, 7% Hybrid, and 33% Remote job distribution, with an average salary of $78,765 per year, or $37.9 per hour.

Lead Pharmacy Benefits Management Network Analyst/Management

3B Staffing LLC

Reston, VA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Lead PBM Network Analyst/Management

Location: 100% remote, approved states only. DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL.
Qty: 1

8+ years of systems/technical analysis experience with expertise in pharmacy network performance monitoring, provider relationship management, data-driven decision making, operational optimization, and cross-functional collaboration in a healthcare/PBM environment.

  • 100% remote, CTH, approved states only. Might have to come onsite from time to time for meetings. Nothing specific scheduled.
  • USC or GC only, MUST be convertible!
  • No specific PBM is required, any is fine
  • PBM are the walgreens, CVS pharmacy companies of the world.
  • They only wants candidate on the payor side, not the pharmacy side
  • Transforming the mindset of how to spend PBM. As they transform their pharmacy cost line, it starts with developing a supply chain/Avenue to get to the lowest cost price for drugs (under rebats, GPO-s for best rates, network discounts, etc-).
  • Lead Technical Analyst - contracting with a lot of different entities/networks. Looking for someone to take the contract, with all these different entities, and managing these networks (performance metrics, re-contracting with business/regulatory requirements)
  • Knowledge of Pharmacy networks (retail, mail, and specialty) and measure SLA-s with each vendor to ensrue SLA-s are met within the contract.

Title

Lead PBM Network Analyst/Management

Number of Openings

1

Employment Type

Contract

Contract Length

6-12 month T2P

Job Title: Lead PBM Network Analyst/Management (Oversight of networks including specialty).

This role supports the oversight and optimization of pharmacy network operations. Responsibilities include:

  • Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.
  • Support credentialing, re-contracting, and termination processes across all network pharmacy providers.
  • Ensure alignment of network operations with contractual, regulatory, and service-level standards.
  • Coordinate with internal stakeholders to address network performance concerns and ensure resolution.

PURPOSE:
Delivers critical and emerging systems and data analysis and implements tools and technology for the whole enterprise. Design, and deliver management systems. Build, manage, and sustain critical systems, business and data analysis techniques, methods, tools, and processes. Owns data collection capabilities through collaboration with internal and external teams. Leads cross-departmental, and cross-functional team members.

ESSENTIAL FUNCTIONS:
25% Performs complex system analyses on software programs, applications, and services.

20% Leads product and service evaluation and recommends new tools or platforms for user efficiency.

20% Leads the implementation of new technology for organizational efficiency.

15% Communicates directly with all stake holders including executive management.

10% Improves data collection capabilities through collaboration with organizational teams.

10% Manages product licenses and ensures compliance with IT industry regulations. Provides the organization with cost saving analysis.

Required Skills

  • Experience: 8 years relevant systems/technical analysis
  • Education Level: Bachelor's Degree - In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Top 5 Mandatory Skills:

  • Network performance analysis - Monitoring access, disruptions, trends, and service quality.
  • Provider relationship management - Engaging with pharmacy networks and resolving escalations.
  • Data-driven decision making - Using performance data to guide contracting, retention, and outreach.
  • Operational optimization - Driving improvements in network access, satisfaction, and cost efficiency.
  • Cross-functional collaboration - Coordinating with stakeholders across business, operations, and regulatory teams.

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