- 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
- 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 ... SSRS reports and processes + Experience within the healthcare industry, specifically pharmacy benefit management related analytics. + Experience using Databricks… 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
- 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 ... and mobile app initiatives, focusing on Part D and Pharmacy Benefit Management (PBM) experiences. You will...field **Preferred Qualifications** + Experience with Medicare, Part D, pharmacy benefits , or senior-focused products + Knowledge… 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
- 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 ... Experience using Microsoft Excel, Access, and SQL to generate reports and analyze data Travel: While this is a remote position, occasional travel to Humana's offices… 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
- United Therapeutics (Honolulu, HI)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... studies in addition to designing and implementing tactics for phase IV data generation. You love collaborating with teams like Product Development and Marketing… 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