- CVS Health (Honolulu, HI)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst** performs prescription claim and accumulator audits, verifies policy coverage, ... assesses claim validity, and communicates with PBM ( _Pharmacy Benefit Manager_ ) vendors & client management teams. This person contributes to the efficient and… more
- CVS Health (Honolulu, HI)
- …**Position Summary** This role is for the **Meritain Health PBM** ( _Pharmacy Benefit Manager_ ) **Operations Team** and is responsible for processing PBM vendor ... not limited to):** + Imports and monitors PBM claim data and invoice files. + Reconciles and balances claims...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Walgreens (Honolulu, HI)
- …and holds others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required ... and maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are… more
- Cardinal Health (Honolulu, HI)
- …for our non-commercial pharmacy . We are looking for an experienced product manager with pharmacy experience to work in our mission driven organization where ... a Sonexus (TM) Access and Patient Support Senior Product Manager , you'll build products and/or product capabilities within the...a better quality of life. Our diverse expertise in pharmacy and hub services allow us to deliver best-in-class… more
- Highmark Health (Honolulu, HI)
- …+ None **LICENSES or CERTIFICATIONS** **Required** + 5 years in a Health Plan or Pharmacy Benefit Manager (PBM) + 3 years of leading healthcare program ... include: + **Strategic Leadership:** Developing and executing the organization's MA pharmacy strategy, including formulary management, benefit design, and… more
- Highmark Health (Honolulu, HI)
- …expertise to support inputs into financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager (PBM), pharmacy Group Purchasing ... identify trends, improve decision-making and optimize performance through the use of pharmacy data analytics. The result of this work will lead to market… more
- Evolent (Honolulu, HI)
- …the culture. **What You'll Be Doing:** **Oncology Pharmacist, Medical Pharmacy ** **Collaboration Opportunities:** The Oncology Pharmacist role collaborates with the ... + Introduce innovative initiatives supported with evidence and initial data . + Development of publications such as New Drug...serve as the clinical lead (SME) on the Rules Manager Team. + Ability to travel 15% for external… more
- Walgreens (Kaneohe, HI)
- …end of the store and making recommendations on the overall operations of the Pharmacy and Retail Store. Supports Store Manager with the overall operation of ... support external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach... in seeking community outreach opportunities. + Supports Store Manager in leveraging data , analysis, and team… more
- The Cigna Group (Honolulu, HI)
- …a key stakeholder and leader in the process development + Align and work with manager on the strategic direction of pharmacy operations + Ensure quality and ... **POSITION SUMMARY** Staff Pharmacist, Sr. Manager , Pharmacist In-Charge (PIC) Responsible for the management...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve… more
- Cardinal Health (Honolulu, HI)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in… more
- Cardinal Health (Honolulu, HI)
- …These steps include patient referral intake, investigating all patient health insurance benefits ( pharmacy and medical benefits ), and proactively following ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- CVS Health (Honolulu, HI)
- …Candidates must be very strong in Excel. Experience in Tableau and other similar data and reporting tools are preferred. + Candidate must be very strong in critical ... volumes, workloads, work activities, rates and other conditions using data /statistical analysis. Participate/Lead weekly and monthly resource discussions with… more
- Cardinal Health (Honolulu, HI)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience +… more
- CenterWell (Honolulu, HI)
- …care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Key...Benefit Analysis during initiative ideation and validate all benefits post initiative deployment + Analyzes and measures the… more
- Highmark Health (Honolulu, HI)
- …MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant, pharmacy provider, or another ... analysis + Analyze, evaluate and interpret appropriate financial and statistical data . + Develop and/or document business policies, conduct special financial and… more
- Sharecare (Honolulu, HI)
- …unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health ... and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection,...dental, and vision plans + Support for spending accounts, pharmacy , and disability. + Assistance with incentives and rewards… more
- CenterWell (Honolulu, HI)
- …care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by ... for program implementation. Leveraging expertise in health trend forecasting and data analysis, the Principal will collaborate across functions (particularly Data… more
- CenterWell (Honolulu, HI)
- …care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by ... education, and compliance as it relates to Medicare Risk Adjustment. Uses data -based insight to direct process improvement efforts within the clinical and shared… more
- Cardinal Health (Honolulu, HI)
- …for products, ensuring that all relevant product and client information and data is communicated in an effective manner. Seeks guidance from Supervisor and ... and presentations for clients. May serve as a project manager for smaller projects and ensure that team members...and concepts of a discipline (eg, chemistry, pharmaceutical science, pharmacy , biology, microbiology etc.) considered a plus + Sound… more