- Monster (Eagan, MN)
- …Docker and Kubernetes Familiarity with cloud architectures in Pharmacy Benefit Management ( PBM ) or healthcare Compensation: Hourly W2 pay: $90.00 to $100.00/hour We ... have access to additional contract, contract-to-hire, and direct hire positions with various rate ranges. If you have the qualifications described and are interested in this exciting opportunity, apply today! Ranked a Top Staffing Firm in the US by Staffing… more
- Monster (Eagan, MN)
- …and driving change. Preferred Qualifications: Previous Pharmacy Benefit Management ( PBM ) or healthcare experience with understanding of Medicare, Medicaid, the ... Exchanges along with regulatory compliance requirements (HIPAA and/or PCI and PHI). Understanding of security implications of domain. Expertise in the given product domain, with an understanding of dependent subsystems. Compensation: Hourly W2 pay: $53.00 to… more
- HUB International (Chicago, IL)
- …leading success in mergers and acquisitions. **ABOUT THE ROLE** **Summary:** The PBM Auditor is responsible for conducting comprehensive audits of Pharmacy Benefit ... interpretation, and the preparation of detailed reports and findings. The PBM Auditor works to identify discrepancies, recoup overpayments, and provide… more
- CVS Health (Helena, MT)
- …join it's CVS Health's leadership team as a Director, Pharmacy Benefit Management ( PBM ) Underwriting, Analysis and Strategy. In this role, you will lead a critical ... segment supporting a strategic PBM client division of CVS with responsibility for identifying...by: + Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D,… more
- MSys Inc. (Plains, TX)
- Job summary: Title: QA with PBM - Hybrid Location: Morris Plains, NJ, St. Louis, MO, Bloomfield, CT, Austin, TX, Dallas, TX Length and terms: Long term - W2 or C2C ... - 3 days onsite Contract to Hire Job Description: Need QA with PBM experience (third-party intermediary that manages prescription drug plans on behalf of health… more
- System One (Baltimore, MD)
- Job Title: PBM Business Analyst Location: Remote Type: Contract Compensation: $48/HR Contractor Work Model: Remote ALTA IT is seeking a PBM Business Analyst with ... and system questions as needed. Qualifications + Strong knowledge of PBM (Pharmacy Benefit Management) operations, eligibility, and accumulators. + Experience with… 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 contribute to client retention and… more
- Elevance Health (Tampa, FL)
- ** PBM Pricing Strategy Analyst Manager - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Pricing Strategy Analyst Manager** will be responsible for Pharmacy… more
- CVS Health (Trenton, NJ)
- …play a pivotal role in shaping and executing the strategic direction of our PBM product portfolio. This role centers on two primary areas: leading and supporting ... years of experience within healthcare or related industries. Ideal experience in PBM pricing, enterprise strategy, enterprise sales, or product marketing + 2+ years… more
- Bristol Myers Squibb (Princeton, NJ)
- …part of the Global Pricing organization and reports to the Director of PBM /Payer, Contract Strategy and Analytics. The Associate Director of Contract Strategy and ... experienced individual who is responsible for supporting field facing National PBM /GPO Account team in developing and executing strategic, value-creating and… more
- CVS Health (Irving, TX)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within our Reporting Solutions team. CVS ... pharmacy claims data + Experience in healthcare industry, including health insurance, PBM or pharmacy services **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Insight Global (Eagan, MN)
- …Global is seeking several Quality Assurance Specialists (QAS) to join a large PBM client. The QAS will be responsible for the configuration and quality testing ... -Someone interested in understanding the 'Why' versus "this is what I do" attitude. -Background or experience in PBM , claims, benefits, billing, testing, etc. more
- CVS Health (Woonsocket, RI)
- …every day. **Position Summary** CVS Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the path to better health is affordable, easy ... with Agile, SAFe, or similar delivery methodologies. + Deep understanding of PBM workflows and pharmacy operations will be valued. + Strong influencing skills… more
- CVS Health (Sacramento, CA)
- …to inform product development and service improvements. + Maintain deep knowledge of PBM , healthcare, and technology trends to support client needs. + Assist in ... internal stakeholders. **Required Qualifications** + 7+ years of experience in PBM , healthcare, or technology consulting/client-facing roles. + 7+ years of… more
- The Cigna Group (New York, NY)
- …Management at finalist meetings and in the market + Remains current on PBM industry trends and competitive knowledge + Maintains positive working relationships with ... a smooth transition **Qualifications** + Bachelor's degree preferred + 2 plus years in the PBM sector including product and pricing + Must be located in NY/NJ area +… 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
- CVS Health (Downers Grove, IL)
- …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
- AON (IN)
- …of Pharmacy consultants. The successful individual will have a strong understanding of the PBM marketplace and be viewed as a connector in the industry by peers ... employer clients primarily through an established consulting arrangement inclusive of a ( PBM ) procurement process, a market check process and/or other services. +… 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
- 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
