Pbm Jobs

Lead contracting operations and rebate administration for Ascendis Pharma’s endocrinology rare disease portfolio, driving launch readiness, compliance, and cross-functional execution from a hybrid role based in Princeton, NJ.

Lead the end-to-end development and deployment of generative AI (RAG and agent) solutions at CVS Health, leveraging Python, modern GenAI frameworks, and cloud infrastructure to drive enterprise adoption.

Experienced account management professional needed to lead operational delivery and client relationships for complex health plan accounts at Navitus.

Navitus is hiring a Client Operations Project Coordinator to coordinate client implementations and benefit changes, ensuring accurate, timely delivery and smooth go-lives across internal and external partners.

Cogent Biosciences seeks an experienced Senior Director, Payer Accounts to lead payer account strategy and a field team focused on maximizing coverage and access for its precision therapies.

Pharmacy-focused data analyst needed to produce pharmacy benefit analytics, support procurement/RFPs, and present insights to clients in a fast-paced benefits consulting environment.

Lead U.S. market access and channel strategy for Takeda’s Plasma-Derived Therapies, shaping payer value stories, contracting, pricing, and specialty channel plans to ensure patient access.

Serve as a key analyst on Novartis' FMV/Bona-fide Service Fee team, performing service fee assessments and compliance-driven analytics for commercial partnerships while collaborating across Finance, Legal, and Medical teams.

Point C Health is hiring a Business Analyst to translate business needs into functional requirements, improve processes, and support cross-functional initiatives in a remote capacity.

Lark Health is hiring a Strategic Healthcare Sales Manager to grow cardiometabolic business by selling digital care solutions to employers, health plans, PBMs, and benefits consultants.

Lead operations and project delivery for Navitus’ Medicare EGWP product, ensuring compliant, efficient processes and strong cross-functional partnership.

Provide HIPAA-compliant, member-focused support for pharmacy and PBM inquiries as a remote Customer Service Representative for The Cigna Group.

Cogent Biosciences seeks a Senior Director, Key Accounts Management Lead to drive national GPO/payer strategies, lead an account director team, and secure optimal access and formulary positioning for oncology and specialty products.

Lead pharmacy network analytics and audit strategy for a fast-growing healthcare company, turning pharmacy data into actionable insights that drive network performance and compliance.

RightwayRx is hiring a Pharmacy Technician (CPhT) to perform utilization management tasks, process authorizations, and support specialty pharmacy coordination in their Dallas operations.

Rightway is hiring a Senior Client Success Manager to lead PBM implementations and manage high-value client relationships from onboarding through ongoing operations (hybrid Dallas/remote).

Rightway seeks a Senior Client Success Manager to lead PBM client relationships, ensure operational excellence, and drive client satisfaction across open enrollment and ongoing pharmacy benefit programs.

Clinical Pharmacist (Utilization Management) to support PBM clinical operations by reviewing utilization requests, creating policy, and coordinating with prescribers and internal teams to drive safe, cost-effective medication access.

Cigna is hiring remote Customer Service Representatives to support members and providers with pharmacy benefits, mail-order prescriptions, and Medicare-related inquiries.

Experienced specialty clinical pharmacist needed to provide concierge-level care and clinical oversight for members on specialty medications within Rightway’s PBM clinical operations.

Senior Data Scientist opportunity to lead experimentation, advanced analytics, and data modeling at a high-growth health-tech company transforming PBM.

Rightway is hiring a PBM Benefits Coordinator to manage benefit plan configuration, formulary maintenance, and related operations for its PBM offerings.

Data-driven Business Analyst sought for Brown & Brown's National Pharmacy Team to analyze PBM claims, build forecasting models, and deliver actionable insights to clients.

Marketing Associate needed to support integrated campaigns, social media, events, and marketing operations at a fast-growing specialty insurance firm.

Evernorth seeks a Financial Operations Manager in St. Louis to lead a hybrid team managing PBM contract financial and rebate guarantees, ensuring accurate tracking, reporting and effective controls.

Novartis seeks a Director, Payer Insights to lead advanced analytics and market-access strategy, delivering data-driven payer insights that optimize pricing, contracting, and patient access.

SmithRx is hiring an Inbound Call Center Representative in Lehi, UT to deliver empathetic, knowledgeable member support for its next-generation PBM platform.

Experienced managed-markets leader sought to manage national and regional payer accounts, secure formulary access, and drive product launch success for IQVIA's pharmaceutical clients in a part-time remote capacity.

Experienced licensed pharmacist needed to provide clinical subject-matter expertise and configure prior authorization intent across PBM/claims systems for Evernorth's client-facing operations.

Rightway seeks a Senior Product Manager to lead development of scalable data and implementation tools that accelerate client onboarding and improve healthcare data quality and reliability.

PSG is hiring a Senior Pharmacy Benefit Consultant to lead strategic PBM engagements, negotiate vendor contracts, and deliver cost-saving drug management solutions for sophisticated clients.

Experienced operations leader needed to oversee multi-site claims and call center operations for Archimedes, driving financial performance, operational efficiency, and excellent customer experience.

Lead and scale Prime Therapeutics' strategic 340B program by driving cross-functional program strategy, vendor partnerships, and change initiatives as the Senior Director of Program Management (remote).

Rightway is hiring a bilingual (English/Spanish) Certified Pharmacy Technician to provide remote member-facing pharmacy navigation and prior-authorization support during MST/PST hours.

Amber Specialty Pharmacy is hiring a detail-oriented Contract Analyst to draft, negotiate, and manage healthcare contracts and payer workflows in a fully remote US role.

Transcarent is hiring a Vice President of Pharmacy Consultant Relations to cultivate consultant partnerships, shape go-to-market strategy, and accelerate pharmacy revenue through high-impact market influence.

Navitus Health Solutions seeks a detail-oriented Analyst to manage and reconcile pharmaceutical rebate operations within a dynamic remote work environment.