- Novo Nordisk Inc. (Plainsboro, NJ)
- …with aligned regional accounts team on ACO approach with health plan, PBM and health system customers Evolve Customer Engagement Strategy and Approach: Establishes ... and expands relationship with customers that goes beyond formulary access Understands customer strategy and continuously looks for ways to develop mutually beneficial solutions Assembles and coordinates in-house functions, providing cohesive strategy while… more
- CVS Health (Scottsdale, AZ)
- …all with heart, each and every day. **Position Summary:** The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic individual ... regulatory agencies and their contracted auditing organizations. As a Senior Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will: + Work… more
- CVS Health (Scottsdale, AZ)
- …all with heart, each and every day. **Position Summary:** The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic individual ... state regulatory agencies and their contracted auditing organizations. As a Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will: + Support… more
- Elevance Health (Norfolk, VA)
- ** PBM Compliance Manager (Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... employment, unless an accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance… more
- Elevance Health (Norfolk, VA)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : PBM Pricing Strategy Analyst **Location(s):** + 4361 Irwin Simpson Road, **Mason, ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** PBM Pricing Strategy Analyst** is responsible for Administrative Services Only (ASO)… more
- AscellaHealth (Berwyn, PA)
- …new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value ... comprehensive understanding of specialty pharmacy benefits, rebate strategies, and core PBM functions. This individual will lead client retention and renewal… more
- Elevance Health (Woburn, MA)
- **Pharmacy Benefits Manager** **( PBM ) Pricing Strategy Analyst, Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** PBM Pricing Strategy Analyst, Senior** is responsible for Administrative...of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and… more
- Insight Global (Eden Prairie, MN)
- …clients. In this role youll work to reconcile diverse client identifiers across PBM systems to create master client identity records. These master IDs are critical ... on this team this candidate will have a deep expertise within the PBM industry and a thorough understanding of RxClaim client structure (Carrier Account Groups… more
- The Cigna Group (St. Louis, MO)
- …Management at finalist meetings and in the market + Remains current on PBM industry trends and competitive knowledge + Maintains positive working relationships with ... transition **Qualifications** + Bachelor's degree preferred + 2 plus years in the PBM sector including product and pricing + Sales or direct client management… more
- US Tech Solutions (May, OK)
- …as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of ... candidates with that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have… more
- Actalent (Houston, TX)
- …and multitasking skills + Self-motivated and results-driven Preferred Skills + PBM or Case/Care Management experience + Retail pharmacy background preferred + ... Proficient in Word, Excel, and basic IT troubleshooting + Typing speed of 35+ WPM Work Environment + 100% remote (must reside outside CA, HI, VA) + Licensure can be from any US state + Shifts typically start between 9-10 AM CST + Weekend and holiday rotations… more
- CVS Health (Irving, TX)
- …years of contract experience required with a preferred knowledge of PBM business/operations. + Experience in redlining documents. **Preferred Qualifications** + ... Demonstrated ability to manage and organize projects from start to completion + Prior contracting experience in healthcare and knowledge on contracting terminology + Proficiency in Microsoft Word + Proficiency in Microsoft Excel + Ability to work independently… more
- Children's Hospital Association (Lenexa, KS)
- …and execution to provide the most cost-effective Pharmacy Benefit Management ( PBM ) programs and services to children's hospitals. Collaborating with hospitals and ... purchasing contract activities related to the Pharmacy Benefit Management ( PBM ) program. + Review and modify, as needed, the...the resources needed to effectively and efficiently run the PBM program which will include a combination of staff,… more
- AbbVie (North Chicago, IL)
- …PURPOSE OF ROLE Leads assessment of and strategy development for PBM Reform/Transformation with a 2-10-year horizon view. Leads large cross-functional workstreams ... Impact. RESPONSIBILITIES + Lead the development and understanding of deep PBM Channel Dynamics and Transformation Drivers/Potential Scenarios to extraordinary depth… more
- The Cigna Group (Franklin, TN)
- …Division **POSITION SUMMARY** Looking for a talented, confident individual with extensive PBM pricing expertise, an ability to drive change, grow their career, and ... agents and eliminating hurdles to ensure maximization of the PBM benefit offering, to grow their business and offer...Advisor will be a key leader serving as a PBM pricing expert for our health plan clients at… more
- State of Arkansas (Little Rock, AR)
- …Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager. The PBM Division Manager organizes and monitors ... and external stakeholders. A PharmD is required to ensure fluency in PBM operations and terminology related to pharmacy operations. This position requires on-site… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Responsible for strategic development and execution of PBM and 3rdParty Payor contracting for PharMerica LTC Pharmacy business units. ... Responsibilities + Oversees all Pharmacy PBM and 3rdParty Payor contracting process for LTC PharMerica...Medicaid. + Manage and negotiate national 3rdParty Payor and PBM contracts to ensure company's objectives are met in… more
- CVS Health (Woonsocket, RI)
- …play a pivotal role in supporting the CVS Health Pharmacy Benefit Management ( PBM ) business unit. You will be entrusted with implementing critical safeguards and ... ensure rigorous adherence to contractual flow-down requirements, as well as PBM client-specific contract obligations. Success in this role demands exceptional… more
- Walgreens (Deerfield, IL)
- …**Job Responsibilities** + Respond to all levels of inbound Pharmacy Benefit Manager ( PBM ) and major medical insurance related phone calls. + Resolves questions and ... problems submitted by customers and Pharmacy Benefit Manager ( PBM ) following established guidelines and standard SOPs and procedures....to choose the best solution and resolve customer and PBM concerns. + Requests and loads PBM … more
- embecta (Parsippany, NJ)
- …analysis, analytics, financial modeling for RFP's and contract renewals, PBM /payer rebate invoice reconciliation, support for internal/external audits and ... Accounts (Managed Care and Retail), Channel Management, GPO, Long-term Care, Acute Care, PBM , Mail order and DME distributors in the US and Canada. **This role… more
