- 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 ... related field and a minimum of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and experience, which… more
- US Tech Solutions (May, OK)
- …based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management) required. + ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- AscellaHealth (Berwyn, PA)
- …responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position ... is crucial to delivering value through a comprehensive understanding of specialty pharmacy benefits, rebate strategies, and core PBM functions. This individual… more
- Intermountain Health (Murray, UT)
- …this position.** **Essential Functions** + Ensures coordination and communication of pharmacy benefit management ( PBM ) programs including drug manufacturer ... pharmacy residents and student activities. + Promotes stand-alone PBM through relationships with customers, brokers, and key employer group executives.… more
- CVS Health (Cheyenne, WY)
- …and every day. **Position Summary** This role is for the **Meritain Health PBM ** ( _Pharmacy Benefit Manager_ ) **Operations Team** and is responsible for processing ... PBM vendor invoices and claims. The ** PBM Invoice Processor** is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.… more
- BlueCross BlueShield of North Carolina (NC)
- …partners. The ideal candidate will have experience at a health plan and/or Pharmacy Benefits Manager ( PBM ) industry, have Medicare pharmacy experience, ... and lead the development of strategic pharmacy projects and Pharmacy Benefit Manager ( PBM ) partnership efforts to meet BCBSNC's growth objectives, as well as… more
- GEHA (Lee's Summit, MO)
- …partnership with the Chief Medical Officer, this role oversees all aspects of pharmacy operations, benefit management, PBM oversight, pharmacy network ... setting. + 8+ years of leadership experience. + Demonstrated experience leading enterprise pharmacy strategy and managing PBM performance. + Proven success in… more
- Amazon (Seattle, WA)
- …building processes and coordinating release schedules - Experience in healthcare, preferably Pharmacy , PBM , or pharmacy -adjacent Preferred Qualifications - ... Description About Us: At Amazon Pharmacy , we believe that by removing and reducing...ourselves in becoming the world's safest and fastest online pharmacy . The Role: We seek a Senior Manager of… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of ... Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits… more
- Humana (Springfield, IL)
- …health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management ( PBM ) to develop and implement strategies and ... the Humana Illinois FIDE-SNP health plan relationship with our internal PBM , Humana Pharmacy Solutions ensuring compliance with programmatic requirements,… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** 2024-2026 PBM / Pharmacy RFP Pro **Equal Employment Opportunity** CareFirst ... & Qualifications** **PURPOSE:** Provides the execution delivery leadership for Pharmacy strategic initiatives, including Pharmacy Benefit Management… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** 2024-2026 PBM / Pharmacy RFP Pro **Equal Employment Opportunity** CareFirst ... strategic technology direction and creating solution architecture for the Pharmacy business and across large complex initiatives/projects, including Pharmacy… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** PBM / Pharmacy RFP **Equal Employment Opportunity** CareFirst BlueCross ... Manages and oversees the teams responsible for design and development of Pharmacy solutions, and their operations and maintenance. Directs the work of engineers… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** PBM / Pharmacy RFP **Equal Employment Opportunity** CareFirst BlueCross ... **Resp & Qualifications** **PURPOSE:** Serves as an authority over Pharmacy Product Owners and product teams to ensure clarity in strategic direction. Brings an… more
- Northwell Health (New Hyde Park, NY)
- …needs + Experience with HIPAA regulations + Familiarity with retail, specialty and/or PBM pharmacy workflows and prescription fulfillment + Proven track record ... of achieving business objectives + Ability to work independently and as part of a team in a fast-paced environment + Understanding of the SDLC, including Agile methodologies Job Qualification + Bachelor's Degree required, or equivalent combination of education… 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
- Amazon (Boston, MA)
- …Partener Services, representing Amazon pharmacy with key relationships for Pharmacy Benefit Managers ( PBM 's), Manage Care Organizations (MCO's) Health ... consultants. Basic Qualifications - 10+ yrs overall experience preferably in PBM , health insurance, pharmacy , business development, marketing, managed care,… more
- Elevance Health (Norfolk, VA)
- …in Finance or related field and a minimum of 1 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and ... Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong,… more
- Children's Hospital Association (Lenexa, KS)
- …Services leads strategy development and execution to provide the most cost-effective Pharmacy Benefit Management ( PBM ) programs and services to children's ... and insurance group purchasing contract activities related to the Pharmacy Benefit Management ( PBM ) program. + Review and modify, as needed, the resources… more