• Business Change Director (Quality Control Test…

    Elevance Health (Wallingford, CT)
    PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing ... **Location:** This position will work in a hybrid model ( remote and office) with once a week from the...5+ years of experience leading and managing Pharmacy Benefit Manager / PBM end-to-end testing for web and… more
    Elevance Health (09/11/24)
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  • Sr. Analyst, Compliance Project

    CVS Health (Chicago, IL)
    …others. **Required Qualifications** + 3+ years of combined experience in a project manager / PBM role/Market conduct exam role. **Preferred Qualifications** ... of three days onsite per week and two days remote The Corporate Compliance PBM Business Compliance...experience in planning, developing, and coordinating business compliant audit project plans and corrective action plans. + Prior … more
    CVS Health (09/19/24)
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  • Remote Sr. Pharmacy Benefits Analyst

    Healthfirst (NY)
    …Medicare pharmacy benefits and PDE accuracy in collaboration with our Pharmacy Benefit Manager ( PBM ). + Collaborates with our Medicare product team to identify ... the development of applicable policies and procedures, reporting and project specifications, job aids and workflows for Medicare products....work hours. + Experience working with a Pharmacy Benefit Manager ( PBM ) within a health plan or… more
    Healthfirst (09/04/24)
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  • Consulting Business Analyst - Remote in…

    Prime Therapeutics (Rancho Cordova, CA)
    …every decision we make. **Job Posting Title** Consulting Business Analyst - Remote in the California market **Job Description Summary** This position is responsible ... business operations, technology groups, clients, business partners, vendors, and project /program team. The Consulting BA will understand, analyze, and facilitate… more
    Prime Therapeutics (09/15/24)
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  • Sr. IT Systems Engineer - Kafka Admin…

    Prime Therapeutics (Columbus, OH)
    …decision we make. **Job Posting Title** Sr. IT Systems Engineer - Kafka Admin Remote **Job Description** We are looking for an experienced Kafka Admin with the ... technical design and reviews based on architectural guidance + Responsible for project execution, solution, and building + Subject matter expert on specific… more
    Prime Therapeutics (09/15/24)
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  • WSO2 Developer - Remote

    Prime Therapeutics (Columbus, OH)
    …and drives every decision we make. **Job Posting Title** WSO2 Developer - Remote **Job Description** The Software Engineer Senior IT is responsible for designing, ... an in Agile/Product Delivery model + Previous experience in PBM / health care industry + Understanding of security...to 3:00 pm as needed for technical support and/or project needs + Constantly required to sit, use hands… more
    Prime Therapeutics (09/12/24)
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  • Pharmacy Technician Auditor - Express Scripts…

    The Cigna Group (Orlando, FL)
    …in order to correct risks identified and present findings to the Sr Audit Manager . The Staff Auditor may participate in third party audits and work collaboratively ... in all external Third Party Pharma Audits. Will work with Pharma Account Manager to ensure sufficient research is conducted to provide accurate background knowledge… more
    The Cigna Group (09/14/24)
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  • Pharmacy Benefit Coordinator II

    CareOregon (Portland, OR)
    …requirements, and updating stakeholders. + Regularly interface with the Pharmacy Benefit Manager ( PBM ) to implement, validate and trouble shoot pharmacy benefit ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...Coordinator II Exemption Status: Exempt Department: Pharmacy Title of Manager : Pharmacy Medicare Manager Supervises: N/A Requisition:… more
    CareOregon (09/21/24)
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  • Senior Manager , Commercialization…

    CVS Health (Columbus, OH)
    …care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the Health Care Delivery ... clear path to value and growth objectives. + Co-lead project management and leadership updates and facilitate key decision...stakeholders and following through resolution. Note**:** _This is a remote role and can be anywhere in the continental… more
    CVS Health (09/20/24)
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  • Departmental Analyst 12 - Bphasa - - Pharmacy…

    State of Michigan (Lansing, MI)
    …experts/team leads, BPHASA, and the Department's Pharmacy Benefit Manager ( PBM ) Vendor. Position Description (https://MCSC.state.mi.us/AgencyPDFs/DEPTALTA880N PD ... 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests...and knowledge of pharmacy policy, operations, pharmacy data and project management? + Yes + No 04 Do you… more
    State of Michigan (09/21/24)
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  • Business Consultant

    Elevance Health (Norfolk, VA)
    **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles or a 1-hour commute each way of one of our ... requirements with technical impacts. Possesses full technical knowledge of most phases of project life cycles, including systems and business impacts, and is able to… more
    Elevance Health (09/11/24)
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  • Pharmacy Benefit Specialist II

    CareOregon (Portland, OR)
    Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit ... Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy Benefit Operations Supervisor Direct Reports n/a Requisition # 24529 Pay and… more
    CareOregon (09/13/24)
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