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Sarah Jenkins
Remote Pbm Pharmacist jobs in the United States
Job type
Min. salary, $/year
Level
The demand for a skilled PBM pharmacist continues to grow as pharmacy benefit managers expand their remote teams across the USA. With 301 open positions available, this is an excellent time to explore remote PBM pharmacist jobs in the USA and join a field that blends clinical expertise with data-driven decision making. Organizations nationwide are actively looking to hire a PBM pharmacist who can support formulary management and ensure optimal patient outcomes.
Successful candidates bring strong clinical knowledge, a deep understanding of pharmacy benefit structures, and the ability to analyze claims data with precision. Employers seek professionals who are comfortable navigating formulary management, prior authorization reviews, and drug utilization protocols. Excellent communication skills matter just as much as clinical training, since a PBM pharmacist often collaborates with physicians, insurers, and internal teams to resolve coverage issues. Familiarity with pharmacy software systems and regulatory compliance standards further strengthens a candidate's profile among current PBM pharmacist vacancies.
Remote work has become the standard arrangement for many PBM pharmacist positions, allowing professionals to contribute from home offices while staying connected through virtual platforms. The USA market shows strong hiring momentum in this sector, driven by the ongoing shift toward digital health management and cost-efficient medication oversight. Companies increasingly value flexibility, offering remote schedules that support better work-life balance without sacrificing clinical rigor or career growth potential.
If you are ready to advance your career, now is the perfect moment to pursue PBM pharmacist positions that match your expertise and goals. Global Work AI connects talented professionals with employers seeking dedicated pharmacists ready to make an impact. Explore current openings today and take the next step toward a rewarding remote career in pharmacy benefit management.
Prime Therapeutics
Manage client-specific clinical programs and drug strategy recommendations, including formulary management and Utilization Management programs. Provide consultation on clinical program opportunities and drug therapy issues.
remote, United States$124k – $211k/yrFull TimeMiddle (2-4 years)
Shields Health Solutions
Review and interpret patient care notes for prior authorization approvals, develop clinical protocols, monitor patient adherence, evaluate EMR for medication interactions, recommend drug regimens, manage medication therapy, oversee tech activities, resolve insurance issues, and supervise support…
remote, GA, United StatesFull TimeJunior (<2 years)MedOne, L.C
Support clinical review and account management departments, evaluate clinical guideline criteria, and perform outbound consult calls with healthcare providers. Make prior authorization determinations, document cases thoroughly, and maintain quality standards.
remote, United StatesFull TimeJunior (<2 years)
Prisma Health
Lead and manage projects/systems ensuring delivery within scope, quality, schedule, and cost. Collaborate with pharmacy executives and clinical teams to assess feasibility, collect requirements, and monitor project activities.
remote, United StatesFull TimeJunior (<2 years)Prisma Health
Lead and manage multiple projects/systems, ensuring delivery within scope, quality, schedule, and cost constraints. Collaborate with pharmacy executives and clinical teams to assess feasibility, collect requirements, and monitor project activities.
remote, United StatesFull TimeJunior (<2 years)
Otsuka Pharmaceutical Co., Ltd.
Monitor and analyze gross-to-net (GTN) revenue, identifying leakage points. Partner with forecasting teams to build models for payer discount liabilities. Validate contract terms against pharmacy claims data and execute audit protocols for rebate invoices.
remote, United States$135k – $201k/yrFull TimeSenior (5+ years)
Jobgether
Lead pharmacy benefits consulting engagements, overseeing data-driven analyses and project delivery. Advise clients on PBM selection, contracting, and pharmacy plan design. Manage consulting projects, ensuring deliverables meet expectations and timelines.
remote, United States$207k – $352k/yrFull TimeSenior (5+ years)
Turing
Design and solve pharmacy and retail healthcare scenarios to test AI reasoning. Write structured explanations for prescription verification, dosage counseling, formulary management, and over-the-counter medication guidance.
remote, United States$202k – $302k/yrFull TimeMiddle (2-4 years)
VIPcare
Provide medication management services for complex patients, develop protocols for medication use, conduct research on pharmaceutical treatments, and ensure compliance with regulations.
remote, FL, United StatesFull TimeMiddle (2-4 years)
Blue Cross Blue Shield of Massachusetts
Process and archive provider authorization requests for retail pharmacy and home infusion using multiple computer systems. Review member eligibility and claims history, providing information to clients via phone or email.
remote, MA, United States$45k – $55k/yrFull TimeJunior (<2 years)
CommunityCare
Review prior authorization requests for medical injectable and specialty medications, ensuring clinical appropriateness and compliance with regulations. Collaborate with pharmacy technicians and medical directors to facilitate utilization management decisions.
remote, United StatesFull TimeSenior (5+ years)CommunityCare
Review prior authorization requests for medical injectable and specialty medications, ensuring clinical appropriateness and compliance with regulations. Collaborate with pharmacy technicians and medical directors to facilitate utilization management decisions.
remote, United StatesFull TimeSenior (5+ years)
Lifted, an Upwork Company™
Create clinical pharmacy assignments based on synthetic patient records, develop medication-use protocols, and design assignments for AI models. Prepare clinical reference materials and produce gold-standard deliverables demonstrating clinical accuracy.
remote, United StatesPart TimeSenior (5+ years)
Gainwell Technologies LLC
Oversee the development and maintenance of the Preferred Drug List (PDL) for Delaware Medicaid, ensuring compliance with program requirements. Monitor drug market changes, develop prior authorization criteria, and analyze utilization trends.
remote, United States$114k – $162k/yrFull TimeMiddle (2-4 years)
Navitus Health Solutions, LLC
Perform Prior Authorizations and Drug Utilization Reviews, including concurrent, retrospective, and prospective components. Interface with physicians and pharmacists regarding beneficiaries’ benefits and therapeutic interventions.
remote, AL, United States$101k/yrFull TimeJunior (<2 years)
UMass Memorial Health
Provide patient-centered clinical pharmacy services, including medication reviews and adherence monitoring. Design and implement medication and disease management programs.
remote, United States$99k – $178k/yrFull TimeLead / Manager
Centene Corporation
Coordinate pharmacy services including dispensing medications, conducting Drug Utilization Reviews, and providing patient counseling. Verify prescriptions, assess patient needs, and participate in care planning and quality improvement.
remote, FL, United States$104k – $193k/yrFull TimeLead / ManagerPrime Therapeutics
Deliver clinical and regulatory analysis to support operations and clinical programs. Conduct testing, including test plan creation and User Acceptance Testing, ensuring compliance with quality assurance standards.
remote, United States$108k – $184k/yrFull TimeMiddle (2-4 years)
Allina Health
Support medication adherence and safety initiatives, conduct patient assessments, and resolve drug therapy problems. Collaborate with interdisciplinary care teams to optimize patient medication therapy and provide education to patients and providers.
remote, MN, United States$128k – $177k/yrFull TimeJunior (<2 years)
Amazon
Perform clinical data review, prescription verification, and virtual patient consultations. Manage the end-to-end prescription fulfillment process, including dispensing medications using automated systems. Maintain quality standards and safety protocols while meeting production targets.
remote, AZ, United States$104k/yrFull TimeJunior (<2 years)
Intermountain Health
Review patients' medication orders for interactions and appropriateness, ensuring safe and effective therapies. Participate in medication preparation and delivery, and complete regulatory compliance training.
remote, CO, United States$127k – $186k/yrPart TimeJunior (<2 years)
RxBenefits, Inc.
Support federal and state regulatory reporting, including CMS Section 111 and DOI filings. Collect, prepare, validate, and submit data for regulatory filings, maintaining schedules to meet deadlines. Maintain audit-ready documentation and support responses to audits and regulatory reviews.
remote (anywhere)$62k – $78k/yrFull TimeJunior (<2 years)
Cardinal Health
Perform remote order entry and evaluate CPOE orders. Conduct physician and nursing consultations, provide clinical medication dosing services, and monitor patient profiles and lab values for therapeutic outcomes.
remote, TX, United States$98k/yrPart TimeJunior (<2 years)
Certara
Contribute to and lead consultancy projects developing PBPK models for pharmaceutical clients. Responsibilities include planning and applying PBPK/PBBM models, conducting data reviews, writing analysis plans and reports, and engaging in regulatory interactions.
remote, United StatesFull TimeLead / ManagerVisits
Research clinical guidelines and pharmacy protocols, translating them into structured workflows and specifications. Collaborate with cross-functional teams to clarify clinical requirements and conduct manual testing to ensure product accuracy.
remote, CA, United StatesPart TimeJunior (<2 years)
DRFIRST COM INC
Lead market expansion and pipeline development in pharmacy and PBM segments. Identify and pursue business development opportunities, negotiate contracts, and drive revenue growth.
remote, United States$175k/yrFull TimeDirectorGainwell Technologies LLC
Support pharmacy operations by responding to inquiries regarding prior authorizations, claims, and benefits. Research and resolve pharmacy claims and medication-related issues while ensuring compliance and accuracy.
remote, IL, United States$42k – $48k/yrFull TimeJunior (<2 years)Ensisinfo Inc
Support NCPDP D.0 and F6 transaction processing for pharmacy claims. Analyze PBM and pharmacy claims data for accuracy and compliance. Write and execute SQL queries for data integrity validation.
remote, CA, United StatesFull TimeJunior (<2 years)
Quantum Health, Inc.
Lead the pharmacy strategy from research to executive decisions, including planning, team coordination, and decision logging. Build frameworks for decision-making, size options with data analysis, and conduct market intelligence on carriers and PBMs.
remote, Atlanta, GA, United StatesFull TimeSenior (5+ years)
Howden
Serve as a strategic pharmacy consultant for employer clients, leading PBM procurement initiatives and financial analyses. Oversee Pharmacy Analytics operations, manage RFPs, and analyze PBM financial proposals.
remote, MN, United States$150k – $190k/yrFull TimeVP / C-level
Soleo Health Inc
Conduct clinical reviews for prior authorization requests, ensuring accuracy and completeness. Evaluate clinical documentation against payer criteria and submit requests to Pharmacy Benefit Managers (PBMs). Communicate with PBMs to resolve authorization issues and mitigate denials.
remote, United StatesFull TimeJunior (<2 years)
MedImpact Healthcare Systems, Inc.
Manage client relationships for Complex and Strategic Key Accounts, ensuring timely deliverables and financial goals are met. Develop strategic business plans, lead client meetings, and analyze financial models to present benefit strategies.
remote, CA, United States$102k – $179k/yrFull TimeMiddle (2-4 years)
AffirmedRx, PBC
Lead product lifecycle management from ideation to optimization, translating client needs into product and partnership opportunities. Develop evidence-based value propositions and prepare client-ready materials in collaboration with vendors and internal teams.
remote, United StatesFull TimeSenior (5+ years)Prime Therapeutics
Develop and manage clinical product initiatives, analyze market information and clinical guidelines, coordinate and implement new products and enhancements, ensure regulatory compliance, validate clinical product information, and establish partnerships with leadership for successful execution of…
remote, United States$124k – $211k/yrFull TimeMiddle (2-4 years)
McKesson
Oversee oral therapy specialty pharmaceutical care plans, including patient evaluations and care plan development. Coordinate with clinical providers to ensure safe and timely drug therapy delivery.
remote, IL, United States$116k – $194k/yrFull TimeJunior (<2 years)
Rightway
Develop comprehensive analytics to demonstrate company impact in the PBM space. Collaborate cross-functionally to provide insights and refine data processes. Utilize advanced statistical techniques for evaluating clinical management programs.
remote, United States$95k – $135k/yrFull TimeMiddle (2-4 years)
Prescryptive Health, Inc.
Own product direction and lead the roadmap for pharmacy adjudication and transaction capabilities. Define requirements across the pharmacy claims lifecycle and partner with engineering to shape platform capabilities.
remote, AL, United States$178k – $223k/yrFull TimeDirectorNavitus Health Solutions, LLC
Manage manufacturer, payor, and strategic partner relationships requiring operational support. Develop long-term account strategies and support Specialty Trade Account Executives. Facilitate client meetings, resolve access issues, and ensure client satisfaction.
remote, Nevada, United States$47k – $56k/yrFull TimeMiddle (2-4 years)Navitus Health Solutions, LLC
Analyze pharmacy claims data for contract accuracy and optimization. Support sales and RFP processes, collaborating with Finance and Underwriting teams. Manage contract compliance, reconciliation, and reporting for pharmaceutical manufacturer discounts.
remote, Nevada, United States$60k – $73k/yrFull TimeMiddle (2-4 years)
Ascension
Provide advanced clinical pharmacy care, including medication therapy management (MTM) and individualized care plans. Document in electronic health records (EHR) and specialty pharmacy software. Collaborate with interprofessional teams to streamline medication delivery and care transitions.
remote, IN, United StatesFull TimeMiddle (2-4 years)10,000,000+ more jobs available!
