... Benefit Manager(PBM) activities. Responsible for oversight of delegated services, implementation of new products and services, and maintenance of business. Contributes to overarching pharmacy ...
... Benefit Manager(PBM) activities. Responsible for oversight of delegated services, implementation of new products and services, and maintenance of business. Contributes to overarching pharmacy ...
Remote Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization Review This remote Pharmacy Technician role ... Enter coverage decisions accurately into the Pharmacy Benefit Management (PBM) system and other ...
New
Remote Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization Review This remote Pharmacy Technician role ... Enter coverage decisions accurately into the Pharmacy Benefit Management (PBM) system and other ...
New
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
Remote Pharmacy Technician
$18 - $20/hr
... pharmacy benefit management system. This role works closely with prescribers, providers, and ... remote position. Application Deadline This position is anticipated to close on Aug 28, 2026. About ...
Remote Pharmacy Technician
$18 - $20/hr
... pharmacy benefit management system. This role works closely with prescribers, providers, and ... remote position. Application Deadline This position is anticipated to close on Aug 28, 2026. About ...
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
New
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
New
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
New
Certified Pharmacy Technician
$18.50 - $22.50/hr
Remote Pharmacy Technician - Prior Authorization (EST Time Zone) This remote Pharmacy Technician ... Enter all decisions and relevant information into the pharmacy benefit management (PBM) system and ...
New
Pharmacy Benefit Coordinator
Linthicum, MD · On-site +1
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Pharmacy Benefit Coordinator
Linthicum, MD · On-site +1
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Remote Pharmacy Technician
$18 - $23/hr
... drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical ... Access and manage the department's inbound fax queue by selecting the earliest available fax and ...
Remote Pharmacy Technician
$18 - $23/hr
... drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical ... Access and manage the department's inbound fax queue by selecting the earliest available fax and ...
Remote Pharmacy Technician
$18 - $23/hr
... drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical ... Access and manage the department's inbound fax queue by selecting the earliest available fax and ...
Remote Pharmacy Technician
$18 - $23/hr
... drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical ... Access and manage the department's inbound fax queue by selecting the earliest available fax and ...
Associate Pharmacy Benefit Consultant
Seattle, WA · Remote
$120K - $155K/yr
Performing audits of pharmacy benefit management contracts and pharmacy benefits using PBM claims data * Participating in and supporting clients' financial recovery efforts * Reviewing PBM pricing ...
Quick apply
Associate Pharmacy Benefit Consultant
Seattle, WA · Remote
$120K - $155K/yr
Performing audits of pharmacy benefit management contracts and pharmacy benefits using PBM claims data * Participating in and supporting clients' financial recovery efforts * Reviewing PBM pricing ...
100% REMOTE Pharmacy Technician
$18 - $21.75/hr
... management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B ... Take member inquiry calls regarding pharmacy benefits, including questions about prior ...
100% REMOTE Pharmacy Technician
$18 - $21.75/hr
... management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B ... Take member inquiry calls regarding pharmacy benefits, including questions about prior ...
MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide ... Strongly preferred hybrid in the Overland Park, KS or remote from Des Moines, IA; however, we are ...
MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide ... Strongly preferred hybrid in the Overland Park, KS or remote from Des Moines, IA; however, we are ...
Remote Pharmacy Technician
$18 - $20/hr
... drugs and pharmacy benefits. The technician is tasked with researching and resolving questions ... Manage cases in the Manual Outreach queue, communicating decisions via call or fax to providers and ...
Remote Pharmacy Technician
$18 - $20/hr
... drugs and pharmacy benefits. The technician is tasked with researching and resolving questions ... Manage cases in the Manual Outreach queue, communicating decisions via call or fax to providers and ...
100% Remote Pharmacy Technician
$18 - $21.75/hr
... management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B ... Take member inquiry calls regarding pharmacy benefits, including questions about prior ...
100% Remote Pharmacy Technician
$18 - $21.75/hr
... management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B ... Take member inquiry calls regarding pharmacy benefits, including questions about prior ...
Remote Pharmacy Technician
$18 - $20/hr
... drugs and pharmacy benefits. The technician is tasked with researching and resolving questions ... Manage cases in the Manual Outreach queue, communicating decisions via call or fax to providers and ...
Remote Pharmacy Technician
$18 - $20/hr
... drugs and pharmacy benefits. The technician is tasked with researching and resolving questions ... Manage cases in the Manual Outreach queue, communicating decisions via call or fax to providers and ...
Remote Pharmacy Technician
$18 - $21.75/hr
Remote Pharmacy Technician Ansible Government Solutions, LLC (Ansible) is seeking multiple ... Manage inbound calls while meeting national productivity and quality metrics. * Provide ...
Remote Pharmacy Technician
$18 - $21.75/hr
Remote Pharmacy Technician Ansible Government Solutions, LLC (Ansible) is seeking multiple ... Manage inbound calls while meeting national productivity and quality metrics. * Provide ...
Remote Pharmacy Technician
Orlando, FL · Remote
$21/hr
Ability to manage multiple tasks in a fast-paced environment. * Strong verbal and written ... Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Individual compensation ...
New
Quick apply
Remote Pharmacy Technician
Orlando, FL · Remote
$21/hr
Ability to manage multiple tasks in a fast-paced environment. * Strong verbal and written ... Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Individual compensation ...
New
Clinical - Clinical Pharmacist 1
$121K - $144K/yr
Ability to work independently in a remote environment. * Basic knowledge of Microsoft Office. Preferred Qualifications * Experience in managed care, health plans, or pharmacy benefit management (PBM)
Clinical - Clinical Pharmacist 1
$121K - $144K/yr
Ability to work independently in a remote environment. * Basic knowledge of Microsoft Office. Preferred Qualifications * Experience in managed care, health plans, or pharmacy benefit management (PBM)
Clinical - Clinical Pharmacist 1
$55 - $65/hr
Ability to work independently in a remote environment. * Basic knowledge of Microsoft Office. Preferred Qualifications * Experience in managed care, health plans, or pharmacy benefit management (PBM)
Clinical - Clinical Pharmacist 1
$55 - $65/hr
Ability to work independently in a remote environment. * Basic knowledge of Microsoft Office. Preferred Qualifications * Experience in managed care, health plans, or pharmacy benefit management (PBM)
Account Executive
$60K - $126K/yr
Translate financial and pharmacy benefit manager concepts into clear, clientready insights ... Remote within the U.S. or based in a CVS Health office * Up to 30-40% travel, including occasional ...
New
Account Executive
$60K - $126K/yr
Translate financial and pharmacy benefit manager concepts into clear, clientready insights ... Remote within the U.S. or based in a CVS Health office * Up to 30-40% travel, including occasional ...
New
Remote Pharmacy Benefit Manager information
See salary details
$47.12 - $50
0% of jobs
$50 - $52.88
0% of jobs
$52.88 - $55.77
5% of jobs
$55.77 - $58.65
7% of jobs
$58.65 - $61.54
8% of jobs
$62.44 is the 25th percentile. Wages below this are outliers.
$61.54 - $64.42
13% of jobs
$64.42 - $67.31
14% of jobs
The median wage is $67.82 / hr.
$67.31 - $70.19
15% of jobs
$72.91 is the 75th percentile. Wages above this are outliers.
$70.19 - $73.08
14% of jobs
$73.08 - $75.96
13% of jobs
$75.96 - $78.85
12% of jobs
$47
$67
$78
How much do remote pharmacy benefit manager jobs pay per hour?
As of Aug 23, 2026, the average hourly pay for remote pharmacy benefit manager in the United States is $67.58, according to ZipRecruiter salary data. Most workers in this role earn between $62.50 and $73.56 per hour, depending on experience, location, and employer.
What is a remote pharmacy benefit manager?
A Remote Pharmacy Benefit Manager (PBM) is a professional who oversees prescription drug benefits for health plans, employers, and other clients while working from a remote location. Their responsibilities include managing formularies (lists of covered medications), negotiating with drug manufacturers and pharmacies, processing prescription claims, and ensuring cost-effective and appropriate medication use. Remote PBMs use specialized software and communication tools to perform their duties, which helps streamline operations and improve access to medications for members. This role typically requires knowledge of pharmacy practices, insurance processes, and regulatory compliance.
How does a remote pharmacy benefit manager typically collaborate with healthcare providers and insurance companies while working offsite?
As a Remote Pharmacy Benefit Manager, you'll frequently interact with healthcare providers and insurance companies through secure digital platforms, phone calls, and video conferences. Effective communication and relationship-building are essential, as you'll be responsible for clarifying coverage policies, resolving formulary issues, and negotiating drug pricing or rebates. Most remote teams use collaborative project management tools to stay aligned and ensure timely resolution of client and member needs. Although you may work independently, you'll regularly participate in virtual team meetings to share updates and best practices.
What are the key skills and qualifications needed to thrive as a remote pharmacy benefit manager, and why are they important?
To thrive as a Remote Pharmacy Benefit Manager, you need a strong background in pharmacy, healthcare administration, or a related field, often supported by a PharmD, RPh, or relevant degree. Familiarity with pharmacy benefit management (PBM) software, claims processing systems, and knowledge of pharmacy law and regulations is typically required. Exceptional analytical skills, attention to detail, and effective communication are key soft skills for managing client relationships and resolving issues. These competencies ensure accurate benefit administration, regulatory compliance, and high client satisfaction in a remote work environment.
What is the difference between Remote Pharmacy Benefit Manager vs Remote Pharmacy Technician?
| Aspect | Remote Pharmacy Benefit Manager | Remote Pharmacy Technician |
|---|---|---|
| Credentials | Certification in pharmacy benefit management, sometimes a pharmacy technician license | State pharmacy technician license, certification (e.g., PTCB) |
| Work Environment | Corporate offices, health plan providers, remote options | Pharmacy settings, mail-order pharmacies, remote roles |
| Employer & Industry | Health insurance companies, pharmacy benefit management firms | Retail pharmacies, hospitals, mail-order pharmacies |
| Search & Comparison Intent | Understanding roles in pharmacy benefits management, remote opportunities | Pharmacy technician duties, remote pharmacy roles |
The main difference is that Remote Pharmacy Benefit Managers focus on managing pharmacy benefits, claims, and formulary decisions, often requiring knowledge of insurance and benefit plans. Remote Pharmacy Technicians assist pharmacists with dispensing medications, handling prescriptions, and customer service. Both roles may be remote but serve different functions within the pharmacy industry.
More about Remote Pharmacy Benefit Manager jobs
What cities are hiring for Remote Pharmacy Benefit Manager jobs?
Cities with the most Remote Pharmacy Benefit Manager job openings:
What states have the most Remote Pharmacy Benefit Manager jobs?
States with the most job openings for Remote Pharmacy Benefit Manager jobs include:
What job categories do people searching Remote Pharmacy Benefit Manager jobs look for?
The top searched job categories for Remote Pharmacy Benefit Manager jobs are:
$129K/yr
Full-time
Posted 19 days ago
Molina Healthcare rating
8.0
Based on 199 frontline employees who took The Breakroom Quiz
167th of 311 rated insurance
Job description
JOB DESCRIPTION Job Summary
Leads and manages team of pharmacy operations staff and Pharmacy Benefit Manager(PBM) activities. Responsible for oversight of delegated services, implementation of new products and services, and maintenance of business. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care.
Essential Job Duties
• Hires, trains, develops and manages team responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, and delivering products through the design process to completion.
• Supports Medicaid and Marketplace lines of business.
• Provides surveillance and oversight of delegated functions.
• Analyzes and interprets data to identify erroneous execution of the pharmacy benefit by the Pharmacy Benefit Manager (PBM).
• Reviews the daily inventory of "outliers" and remediates as required.
• Reviews protocols for accuracy and compliance, including: claims, contracts, overrides, network, digital, etc.
• Supports internal/external pharmacy audits.
• Monitors state and federal landscape for new opportunities.
• Collaborates with cross-functional partners to implement new products and services and supports maintenance of existing business.
• Develops and maintains requirements, user stories, test scenarios and test cases.
• Supports testing execution and defect management.
• Reviews and interprets member eligibility, claim history, and pharmacy benefit information using the PBM claims software to provide information to both internal and external clients.
• Serves as PBM liaison for real-time support on pharmacy benefit interpretation or issues.
• Identifies and assists to remediate gaps and/or deficiencies in current pharmacy processes, tools, reports, and dashboards.
• Develops and maintains pharmacy job aids, policies, and process documents.
• Develops team members acumen in pharmacy services.
Required Qualifications
• At least 7 years of pharmacy experience, and at least 5 years of experience in Pharmacy Benefit Manager(PBM), and 4 years of experience in managed care, or equivalent combination of relevant education and experience.
• At least 1 year of health care management/leadership experience.
• Strong data analysis skills and attention to detail.
• Strong organizational and problem-solving skills.
• Knowledge of processes and systems, and ability develop and deliver necessary training to departmental staff and internal customers.
• Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies and vendors.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Excellent verbal and written communication skills.
• Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
Preferred Qualifications
• Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980