- CVS Health (Irving, TX)
- … Finance Enablement team as a Manager , Compliance Pharmacy Payments within the PBM Reporting team. CVS Health strives to continuously innovate around how we ... technical and business aspects of the reporting . You will report to the Sr. Reporting Manager within the PBM Reporting team. To be successful in this… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. ** Manager , Assumptions Governance** **Position Summary** : As Manager , Assumptions Governance, ... be responsible for key support functions for CVS Health's PBM assumptions management. This role is critical in ensuring...of relational databases and warehouses; SQL, Python or other reporting languages. + Experience managing complex projects in a… more
- CVS Health (Irving, TX)
- …do it all with heart, each and every day. **Position Summary** As a Senior Manager of Business Architecture at CVS Health's PBM Caremark division, your pivotal ... cost and complexity. + Regularly create and present executive level status reporting + Lead analysis, interviews, and workshops to illuminate the current business… more
- CVS Health (Austin, TX)
- …and data engineering teams to develop analytic models, methodologies, and reporting solutions that support pricing initiatives + Presenting client performance and ... risk. **Required Qualifications** + 5 years of experience in Data Analytics, PBM , Financials, account management or similar roles. + 1+ years experience utilizing… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... policy governance across the organization and assigned function to validate regulatory reporting requirements are met and that business operations are aligned with… more
- CVS Health (Austin, TX)
- …Plan, Employer, Coalition) and Marketplace Exchange clients that have delegated PA services to the PBM . The Sr. Manager may have 4-6 direct work from home (WFH) ... service performance, customer satisfaction, financial performance, and quality. The Sr. Manager will collaborate with upstream and downstream functional areas to… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Manager - Oracle - Remote **Job Description** **We are looking for an IT Manager ... might be the role you are looking for.** The Manager IT is responsible for the management, coordination, capacity...2 years of direct people management experience (solid line reporting ) + Must be eligible to work in the… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is responsible for ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Prime Therapeutics (Austin, TX)
- …in a fast-paced environment. In collaboration with the Senior Director of ERM, the Manager ERM will lead the execution and reporting of Enterprise Risk ... drives every decision we make. **Job Posting Title** Enterprise Risk Management Manager - Remote **Job Description** In a rapidly evolving business landscape, the… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Architecture Practice Manager - Remote **Job Description** The Architect Practice Mgr is primarily ... of the architecture processes for awareness and understanding, creating and reporting of metrics and measurements, and driving the support and integration… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager is responsible for ... and Health Plan leadership to understand the purpose and intent of incoming reporting requests and evaluate what relevant information exists, how it can be accessed,… more
- Apex Health Solutions (Houston, TX)
- …as it relates to CMS and other regulatory entities. Interacts with pharmacy benefit manager ( PBM ) to support the implementation of new pharmacy products or ... services and oversee all regulatory reporting requirements. Conducts operational training participate in compliance and...Excellent verbal and written communication skills Working knowledge of PBM system or experience working in a health plan… more
- CenterWell (Austin, TX)
- …The individual in this position will operate under Humana's Pharmacy Benefits Manager ( PBM ), Humana Pharmacy Solutions, to maintain Humana's pharmacy network ... **Use your skills to make an impact** **Required Qualifications** + Pharmacy Benefits Manager ( PBM ) experience + Experience in pharmacy contracting, pricing, or… more
- Highmark Health (Austin, TX)
- …into financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager ( PBM ), pharmacy Group Purchasing Organization (GPO) and vendor ... + 5 years of experience in Data Analytics or Financial Reporting + 5 years of experience in PBM or Pharmacy finance **Preferred** + None **SKILLS** + Strong… more
- Prime Therapeutics (Austin, TX)
- …focus ** Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, ... Medicaid, the Affordable Care Act (ACA) and government programs + Previous PBM or healthcare experience + Legal and/or regulatory experience working with… more
- Highmark Health (Austin, TX)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... develops and maintains spreadsheets and databases to facilitate analysis and reporting ; and is responsible for conducting and documenting financial analysis… more
- CVS Health (Austin, TX)
- …FCA team and Medical Affairs. This position reports to the FCA team Senior Manager in Medical Affairs and is responsible for clinical drug list, formulary, and ... + 3+ years clinical pharmacy experience, inclusive of experience in the managed care/ PBM environment + 2 to 3 years demonstrated experience in formulary development… more
- The Cigna Group (Austin, TX)
- …management of Supply Chain functions, including, but not limited to, reporting and operations. Manage retail provider client-specific custom initiatives related to ... impact for ESI and its clients. Serve as project manager and liaison to ESI clients and Sales &...years of relevant contracting experience. Knowledge of the healthcare, PBM industry and products. Excellent oral and written communication… more
- Prime Therapeutics (Austin, TX)
- …vision, color vision, peripheral vision, depth perception and ability to adjust focus ** Reporting Structure** + Reports to a Manager in the IT department ... with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain… more
- Prime Therapeutics (Austin, TX)
- …vision, color vision, peripheral vision, depth perception and ability to adjust focus ** Reporting Structure** + Reports to a Manager in the IT department ... with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain… more