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$80k - $100k
...employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers,...SuggestedFull timeWork at officeLocal areaRemote workFlexible hoursShift workJudi Health
Remote1 day ago- ...efficiency, and risk management.About YouB.S. degree 3-5 years experienceExperience as a Pharmacy Tech and project managment within PBM idealCompensation and benefitsAt Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information...SuggestedLocal area
- ...Experience in the Self-Insured benefits arena, preferably with Employers, TPAs, States/Municipalities, Unions, Hospitals, private label PBM’s, Cash Card and/or other related entities. Other Skills and AbilitiesOutstanding knowledge of the health benefits arena, government...SuggestedFull timeContract work
$150k - $187.5k
PBM Account Executive, Health Systems - Hybrid Join a growing healthcare technology and PBM organization in Denver, CO that is redefining pharmacy benefit management for health systems and payers. In this high-impact role, you'll serve as a trusted advisor to executive...SuggestedContract workLocal areaImmediate startRelocation packageMonday to FridayShift work$150k - $187k
Associate Director, PBM Client Services - Hybrid (Denver, CO) HealthCare Support is seeking an Associate Director, PBM Client Services to be part of an Enterprise Health Technology company, giving health plans a better way to manage pharmacy and medical benefit administration...SuggestedWork at officeLocal areaImmediate startRemote workMonday to Friday- ...PBM Operations Analyst Location: Eden Prairie, MN Type: W2 Contract Skills: Rx claim adjudication, eligibility, benefits, testing Metrics: This position is required to complete M3P concurrent client testing for 30+ new/existing clients. Project: Medicare...SuggestedContract workWork at office
- ...in your role as well as provide development for other roles you may be interested in. Required Qualifications:4+ years of strategic PBM client account and contract management2+ years of experience in the Health Plan Commercial MarketAdvanced proficiency in delivering presentations...SuggestedMinimum wageFull timeContract workWork experience placementLocal areaRemote work
$87.3k - $124.7k
...company that values work-life balance, continuous learning, and career development.SummaryGainwell Technologies is seeking an experienced PBM Call Center Manager to lead day-to-day operations within a Pharmacy Benefit Management (PBM) call center environment. In this role,...SuggestedFull timeRemote workFlexible hours$163.6k - $204.5k
...Account Executive, PBM Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions...SuggestedContract workWork at officeLocal areaFlexible hours- ...PBM Project Manager The PBM Project Manager is responsible for managing both benefit plan implementations and broader project management initiatives across the organization. This role leads projects end-to-endfrom initiation through closureensuring successful delivery...SuggestedTemporary workRelocation package
$78k - $95k
...’ll fit right in. If you’re looking for a role where you can truly make an impact, keep reading below! Position Summary The Payor & PBM Specialist is a crucial member of our team acting as a liaison between payors, Pharmacy Services Administration Organizations (PSAOs)...SuggestedLocal areaShift work$46.99k - $102k
...a time. Position Summary Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and...SuggestedHourly payFull timeTemporary workWork experience placementLocal area$100k - $140k
Job Description We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain. The candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end...Suggested$74.71k - $135.65k
...PBM Financial Analyst Lead This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with...SuggestedWork at officeLocal area2 days per week1 day per week- CVS Health is seeking a Pharmacy Benefit Management Client Experience Manager to analyze account metrics and support profitable growth. You will shape strategic plans for accounts, focus on revenue growth, member retention, and achieving financial objectives. The role involves...Suggested
- ...Principal PBM Operations Analyst The Principal PBM Operations Analyst will focus on establishing and refining operational processes related to CMS and State requirements for Medicare products. This position will develop an oversight structure of the Pharmacy Benefit...For contractorsWork at officeRemote work2 days per week
$74.71k - $135.65k
Anticipated End Date: 2026-08-14 Position Title: PBM Financial Analyst Lead Job Description: PBM Financial Analyst Lead This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity...Temporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$140k - $160k
...Clinical Account Consultant, PBM The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of pharmacy benefit management clients. Responsibilities include turning complex claims data, clinical guidelines, and market shifts into clear...Work at officeLocal areaFlexible hoursShift work$78k - $95k
Clearway Health is seeking a Payor & PBM Specialist in Bedford, Massachusetts. The role involves serving as a liaison between payors and pharmacy services, ensuring compliance with regulatory requirements. Applicants should have at least 5 years of experience in healthcare...- HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious...Private practiceShift workNight shift
- CVS Health Corporation seeks a Lead Director, PBM Corporate Compliance to oversee regulatory adherence across Caremark's PBM business. You will drive governance, partner with Legal, and embed compliance into operations, contracts, data and technology. In this high-visibility...Remote job
- ABOUT THE ROLE: As a Client Success Associate, you provide operational team support behind the scenes of the client relationship, working through day-to-day account and service matters and owning those issues through resolution. The Client Success Associate acts as the ...
- ...projects from kickoff through go-live, ensuring quality and client satisfaction. Required are strong project-management and communication skills, plus PBM/healthcare knowledge. Remote-friendly with up to 15% travel to client sites. #J-18808-Ljbffr Marpai Administrators LLCRemote job
$91.7k - $163.7k
...help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.OptumRx is boldly leading the PBM industry in helping our members, clients, and prescribers understand the value of their benefits and optimal ways to utilize them. Be...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote work$74.71k - $135.65k
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work,...Temporary workWork experience placementWork at officeLocal area2 days per week1 day per week$19.22 - $34.9 per hour
...PBM Billing Specialist Senior Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...Full timeWork at officeLocal areaDay shift- ...the selected candidate." This position is not eligible for Sponsorship. Job Description Summary The Vice President, Network & PBM Strategy is a senior leader responsible for defining and executing enterprise network, payer, contracting, underwriting, and operational...Contract workRemote workMonday to FridayNight shift
$112.7k - $193.2k
Improve the lives of others while Caring. Connecting. Growing together. Job Description - PBM Director of Specialty Strategy - Remote (2376973) PBM Director of Specialty Strategy - Remote - 2376973 Optum is a global organization that delivers care, aided by technology...Remote jobMinimum wageFull timeWork experience placementLocal areaMonday to Friday- Blue Cross and Blue Shield of Massachusetts, Inc. is seeking a Senior Auditor to lead regulatory and PBM audits. You will ensure controls are effective and compliant, interacting with regulators and external auditors, reporting to the Director of Regulatory and PBM Audit...
- Liviniti is seeking a remote Proposal Strategist/Writer with strong PBM proposal experience. You will collaborate with leadership and SMEs to craft compliant, winning responses aligned with client requirements and Liviniti’s branding. The role requires 4+ years in competitive...Remote jobFlexible hours
