Pbm Jobs

AbbVie seeks a strategic National Employer Account Executive to lead employer-channel engagement and access solutions across the U.S., driving employer partnerships and payer-impacting strategies.

Crumdale Specialty seeks an experienced In-House Counsel to manage contract drafting and negotiation with emphasis on ERISA-regulated benefits and healthcare services within a high-growth insurance environment.

Experienced sales executive needed to lead Texas market growth for a healthcare fintech, driving enterprise relationships with TPAs, brokers, and consultants and closing high-value deals.

Lead Humana's Illinois behavioral health clinical program as Chief Psychiatrist, integrating clinical oversight, quality and utilization management, PBM coordination, and Medicaid BH product development.

Nomi Health is hiring a results-driven Sales Executive to cultivate TPA, broker, and consultant relationships and close deals across the Southeast and Midwest for its healthcare fintech offerings.

Experienced UM Pharmacist needed to lead policy translation and clinical validation for an AI-driven prior authorization platform at Innovaccer.

HUB International seeks a National Director of Clinical Pharmacy & Product to lead clinical strategy and product development for pharmacy solutions that enhance client value and patient outcomes.

Lead strategy and business development for pharma-facing initiatives at CVS Health, building business cases, managing external partners, and incubating growth opportunities to expand pharmaceutical access and reduce costs.

Navitus is hiring a Product Manager to lead the Clinical Engagement Center product line, managing strategy, compliance, and operational delivery for national telehealth clinical services.

International Health and Medical Services is hiring a licensed Pharmacist in El Paso, TX to oversee medication procurement, dispensing, and medication-use monitoring for deployed and clinic-based operations.

AbbVie is seeking a Director to lead long‑range go‑to‑market strategy and cross‑functional initiatives to position the company for emerging payer, pricing, and access challenges.

Navitus is hiring a Privacy Compliance Analyst to manage HIPAA privacy program activities, lead breach investigations, and support compliance monitoring and reporting for the PBM business.

Experienced managed-care pharmacist wanted to lead pharmacy strategy, compliance, and operations for Aetna Better Health of Kentucky in a fully remote Director-level role.

Drive retail pharmacy contracting and network strategy for Evernorth by managing provider relationships, re-contracting efforts, and client-focused network initiatives in a remote advisor role.

Big Leap Health is hiring a Senior Specialty Benefits Navigator to lead escalated prior authorizations and payer/PBM advocacy to secure patient access to Spravato, TMS, and other specialty behavioral health treatments.

Oscar Health is hiring a Manager of Clinical Pharmacy Programs to lead formulary strategy and clinical pharmacy operations that reduce drug spend and enhance member outcomes.

Client Services Executive needed to lead strategic client relationships, drive retention and growth for Navitus’s PBM clients, and collaborate with clinical and analytics teams to deliver results.

MindMed is hiring a strategic Vice President of Market Access to lead payer strategy, pricing, distribution, and patient access initiatives for MM120 and future mental health therapeutics.

Humana is hiring a Senior Quality Engineer to lead and scale test automation, performance and security testing across PBM applications while mentoring a team of testers.

Lead the product strategy and execution for specialty pharmacy prior authorization workflows to reduce delays and improve patient access at Humata Health.

AffirmedRx is hiring a PharmD Strategic Client Success Partner to lead clinical program strategy and manage high-value client relationships in a remote PBM environment.

Abarca Health is hiring a bilingual Associate Rx Customer Service Specialist to manage pharmacy and member communications and support PBM operations remotely.

Centivo seeks a Client Operations Specialist to streamline client-facing operations, support integrations and escalations, and act as a bridge between Client Success and internal teams to deliver excellent service.

Navitus seeks a meticulous Medicare Part D Senior Coordinator to support product teams with implementations, documentation, compliance checks, and process management in a remote role.

AnewHealth seeks a detail-oriented Client Relationship Specialist to manage client communications for Pharmastar product lines and support Medicare Part D operations and regulatory reporting.

Lead a team of pharmacists to deliver data-driven clinical consultation and solutions for prospects and strategic clients across Evernorth/Cigna's pharmacy and benefits portfolio.

St. Luke's Health Plan is hiring a Senior Pharmacy Benefits Specialist to handle escalated PBM issues, manage prior authorizations and appeals, and mentor pharmacy benefits team members.

Navitus is hiring a Proposal Manager to lead proposal development and strategic messaging that drives client acquisition and retention in the PBM and healthcare markets.

Experienced healthcare attorney sought to advise CVS Health’s PBM business on state and federal regulatory matters, market conduct exams, mental health parity, and cross-functional compliance initiatives.

Lead a remote Pharmacy Navigation team on the second shift, supervising pharmacy technicians and driving operational excellence for chat-based member support.

Gravie is hiring a Manager, Pharmacy Operations to lead PBM oversight, claims auditing, vendor management, and formulary validation to support accurate pharmacy benefits and excellent member outcomes.

Lead a remote second-shift pharmacy contact center team at Rightway to coach agents, manage performance and staffing, and resolve escalations that improve member and provider outcomes.

Lead BMS’s U.S. policy and research agenda to shape payment, coverage, and reimbursement policy while managing stakeholder alignment and external advocacy.

Lark Health is hiring a Senior Account Manager to be the primary operational consultant for large health-plan, PBM, and employer partners, combining technical understanding and consultative account management to drive success.

Experienced SYNON/COOL 2E developer needed to enhance and support RxCLAIM adjudication logic and integrations for a global technology consultancy working with healthcare PBM clients.

Experienced SYNON/COOL 2E developer sought to enhance RxCLAIM claim adjudication logic for a global technology consultancy.

Experienced billing and data analyst needed to manage PBM invoicing, reconciliations, and process improvements across commercial and government client portfolios.

Support Client Financial Operations at Judi Health by performing PBM billing, reconciliations, and data analysis to ensure timely, accurate invoicing and continuous process improvement.

Virta Health is hiring a Solution Architect to guide complex deals, translate client needs into operational solutions, and create repeatable frameworks that accelerate sales and implementation.

Lead market intelligence and pipeline forecasting for BSMR at McKesson, delivering executive-ready insights that inform financial reporting and manufacturer strategy.

Lead end-to-end strategic sourcing and supplier management for Presbyterian Health Plan to drive savings, performance and regulatory-compliant contracting across key vendor categories.

Evernorth is hiring a Medicaid/Marketplace Senior Strategist to lead client-facing strategy, market development and regulatory interpretation for Medicaid/Marketplace pharmacy benefit initiatives.

A healthcare-focused services firm in East Syracuse is hiring a Data Solutions Analyst to build automated SQL/Python solutions, develop BI dashboards, and drive data-driven operational improvements.

Lead and coach a team of clinical pharmacists to design and operationalize evidence-based pharmacy programs that improve outcomes and control pharmaceutical spending for Wellmark members.

Experienced senior engineer needed to lead observability, incident response, and operational support for CVS Health's Wilkes-Barre mail order pharmacy platforms.

Evernorth seeks a Product Management Advisor to own regulated-market capabilities, ensure CMS compliance, lead enhancements, and serve as the SME for internal and client stakeholders.