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Remote Pbm Jobs (NOW HIRING)

Account Executive, PBM

Manhattan, NY · On-site +1

$160K - $170K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Location : Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities:

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 ...

Customer Success Director

Wilmington, DE · On-site +1

$120K - $150K/yr

Description Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company ...

Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company dedicated to ...

VP, PBM Trade Relations

$199K - $249K/yr

... manager (PBM) models. We are committed to removing cost from the drug supply chain to make ... Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New ...

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Remote Pbm information

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How much do remote pbm jobs pay per hour?

As of Jun 16, 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 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 cities are hiring for Remote Pbm jobs? Cities with the most Remote Pbm job openings:
What are the most commonly searched types of Pbm jobs? The most popular types of Pbm jobs are:
What states have the most Remote Pbm jobs? States with the most job openings for Remote Pbm jobs include:
Sr. Director of PBM Health Plan Strategic Partnerships - Remote

Sr. Director of PBM Health Plan Strategic Partnerships - Remote

UnitedHealth Group

Eden Prairie, MN • On-site, Remote

Full-time

Retirement

Posted 18 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

187th of 872 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Director of Health Plan Strategic Partnerships partners with our Health Plans clients on strategic initiatives to ensure future success. The Senior Director leads a team of Strategic Account executive, who partners with our health plan executive team to analyze how current pharmacy trends interest with our clients' organizational goals and strategic growth initiatives.
The Senior Director will have the accountability for building, maintaining, and expanding relationships with client leadership and key client stakeholders relative to all of a client's lines of business.
This role will own the overall strategy for maintaining client satisfaction, establishing client expectations (in accordance with client contracts, agreed upon enhancements), communicating these expectations with functional Optum teams, developing client delivery plans, and ensuring consistent Optum execution that meets or exceeds client expectations.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Partners with Client Executives and key business stakeholders to develop and execute a strategic client plan that addresses client's business needs (current and emerging), supports growth, provides measurable value, and increases client engagement / loyalty
  • Establishes, cultivates, and manages, the customer relationship at multiple levels, (executive suite to solution owners) serving as a trusted business advisor / partner to the client
  • Refines client strategy through continual discussions with client stakeholders, detailed understanding of client context, anticipation of client needs, and holds design sessions with relevant Optum leaders to define solutions and execution plans
  • Acts as "ambassador" for Optum at client, advancing Optum's interests with client stakeholders. Represents and articulates value of Optum solutions to various levels within the client, including executives, decision makers and key influencers
  • Supports clients in winning and implementing new business across all applicable lines of business (Commercial, Medicare D, and Medicaid as necessary)
  • Ensures contract compliance, including negotiation and reporting of performance guarantees. Negotiates contractual agreements, statements of work, serving as liaison with contracting / legal / finance
  • Constantly assesses the value our solutions are delivering and leads team members to develop approaches that increase the value we provide and / or increases the impact Optum has on the client's business
  • Engages cross functional client teams on the delivery of services, escalating issues where necessary and driving resolution. Holds functional teams accountable to deliver against client requirements and expectations
  • Owns successful client renewal process, identifying expansion / enhancement opportunities, gauging client receptivity, facilitating contracting processes
  • Key liaison between client and Optum business leaders
  • Maintains accurate and current client plan in CRM System (SalesForce.com), including client planning, opportunity management, contact management, current solution footprint, etc.
  • Ensures Client Satisfaction and client willingness to serve as a reference

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 5+ years of experience in strategic client relationship management within a PBM, or Health Plan with direct oversight of a PBM
  • 5+ years of experience working with senior level c - suite executives and demonstrating progressively increasing responsibility
  • 2+ years of experience leading a team to deliver results
  • 2+ years of experience with PBM Medicaid Medicare client contract management
  • Profit & loss PBM client contract management experience
  • Experience messaging, positioning, and presenting information for maximum customer impact and influence (e.g. leading and coordinating Executive Review Committees, bi-annual summits, executive dashboards, Large Case Reviews, etc.)
  • Experience initiating project plans and successfully manage projects to full execution
  • Experience leading the RFP (Request for Proposals) process, finalist presentations and negotiating client contracts (specifically, Renewals and Market Checks)
  • Experience working with complex health care solutions (e.g., outsourced health care solutions)
  • Employee Engagement Experience, specifically, building high-performing teams, team engagement, and employee retention as documented by improved employee satisfaction scores
  • Proven team development/training/mentor experience including operationalizing development plans and ongoing training to support the team, client, market, and business needs
  • Ability to travel up to 25%

Preferred Qualifications:
  • 3+ years of experience managing PBM health plan client contracts
  • Project management experience
  • Experience leading client management teams while managing client performance guarantees
  • Experience with PBM Medicare Part D and Medicaid
  • Experience with RXClaim
  • Experience with PBM rebates and values

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline:This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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