- Medical Mutual of Ohio (OH)
- …training, and education. . 4 - 5 years of experience in a health plan, pharmacy , or PBM operations , which includes exposure to Centers for Medicare ... a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for...equivalent 5-6 years of experience in a health plan, pharmacy , or PBM operations , which… more
- Elevance Health (Columbus, OH)
- …BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education ... payment as part of consideration for employment. **Senior Analyst, Pharmacy Benefit Manager Pricing & Underwriting** +...Pricing & Underwriting** + Job Family: AFA > Financial Operations + Type: Full time + Date Posted:Apr 12,… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. Position Summary: Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the path ... end-to-end delivery of Aetna's Medicaid, Medicare, and SSI EGWP Pharmacy Benefits Operations through the responsibility and...following key attributes: + 10+ years of experience in Pharmacy Benefit Management ( PBM ), including how a… more
- Sharp HealthCare (San Diego, CA)
- …QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication ... and employer business practices. **What You Will Do** To assist in the day-to-day operations of the pharmacist and pharmacy department and maintain quality of… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview The Pharmacy Licensing Manager will adhere to jurisdiction regulations regarding the initial application for and the renewal of ... licenses to operate all of the PharMerica pharmacies. The Pharmacy Licensing Manager will also support internal and external audits as needed. Responsibilities +… more
- Amazon (Seattle, WA)
- Description Amazon Pharmacy is seeking a driven, talented, and experienced account manager to define and manage critical role relationships with Health Plan and ... PBM Partners. Account Managers (AM) provide end-to-end support for...programs. AMs engage with internal Program Design, Business Development, Operations , Tech and Financial teams to scope and execute… more
- UCHealth (Aurora, CO)
- …of related experience in financial analysis - preferably with insurance company/payor including Pharmacy Benefit Manager ( PBM ) and Health Plan or health ... experience in healthcare organization or health insurance company. + Certified Pharmacy Technician. + PBM experience. Responsibilities: + Analyzing proposals… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. (CPht) Certified Pharmacy Technician preferred. 2. Call center, Pharmacy data entry, and PBM billing experience. 3. Bilingual verbal and ... facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We...in an accurate and timely manner. 2. Resolves all PBM related billing problems and issues. 3. Handle phone… more
- Elevance Health (Las Vegas, NV)
- …lens, to deliver member-centered, lasting pharmacy care. The Account Service Manager , Sr, PBM is responsible for providing highly advanced account management ... locations as necessary ~ 25% **Preferred Capabilities, Skills, and Experiences:** + Pharmacy Benefits Management - PBM knowledge preferred + Experience working… more
- BlueCross BlueShield of North Carolina (NC)
- …* Healthcare vendor contracting experience (not Provider Network contracting) * Pharmacy Benefits Management ( PBM ) knowledge and experience. * Knowledge ... management and contracting processes, and successfully transition business processes and/or operations to operational business teams. * Partner with business leads… more
- CareOregon (Portland, OR)
- … Pharmacy Benefit Specialist II Job Code A133 Department Pharmacy Manager Title Pharmacy Benefit Operations Supervisor Direct Reports n/a Exemption ... + Under the supervision of a pharmacist and/or the operations supervisor, assist with pharmacy benefit projects...+ Ability to learn and effectively navigate CareOregon and PBM software programs necessary to perform job responsibilities +… more
- Elevance Health (Norfolk, VA)
- …Government Business Division in which they are employed.** **Preferred Qualifications:** ** PBM and pharmacy knowledge** **Knowledge of requirement management ... ask you for payment as part of consideration for employment. **Business Analyst III - Pharmacy ** + Job Family: BSP > Business Support + Type: Full time + Date… more
- WTW (Philadelphia, PA)
- …leading PBMs in the industry + Increase your knowledge and understanding of PBM operations , Rx Solutions financial and clinical models, build strategic ... and delivery of RxC training for new hires in pharmacy practice + Review potential new PBM ...Requirements:** + 5+ years of experience as an account manager , account executive or equivalent in a benefits consulting/brokerage… more
- Access Dubuque (Dubuque, IA)
- …2331895 Posted On 03/22/2024 **Job Overview** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members ... and will be responsible for the overall direction and operations of the service line. **Experience & Skills Required...**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving… more
- Insight Global (Woonsocket, RI)
- … call center, patient experience team, reporting and analytics, and Pharmacy Operations to manage strategic initiatives for the PBM Team. 2. Work in ... Governance and Reporting: * Manage key governance for the Operations team, including weekly team meetings and project status...to have - Prior Experience at a major retail pharmacy company - Healthcare, PBM , Insurance, and… more
- CVS Health (Hartford, CT)
- …Knowledge Of: + Strong understanding of Health Care Benefits, Health Care Delivery, PBM and/or Pharmacy segments; experience across multiple segments is a plus ... to growth, CVS Health is looking for a Senior Manager , Actuarial, to support enterprise projects and help develop...and maintain detailed knowledge of the health insurance industry, PBM industry, current/emerging medical and pharmacy trend… more
- Prime Therapeutics (Columbus, OH)
- …Managed care experience **Responsibilities** + 7+ years of experience in clinical operations , quality, network, pharmacy or project management. + Project ... and drives every decision we make. **Job Posting Title** Sr Clinical Program Manager , Pharmacist - Remote **Job Description Summary** Plays a key role in various… more
- CVS Health (Austin, TX)
- …strategy and roadmap to create a clinical operations plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to ... influence internal stakeholders and client contacts Preferred Qualifications + Experience supporting Pharmacy Benefit Management ( PBM ) clients or within a health… more
- CVS Health (Atlanta, GA)
- … PBM Benefits Modernization is responsible for managing the technical needs across PBM Benefits space in the Pharmacy Benefits Management segment. They have ... accountability for the development, operations and support for web-based tool development platforms. This...position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business… more
- Access Dubuque (Dubuque, IA)
- …and retain clients and business partnerships. **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members ... Benefit Solutions **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members… more