- Elevance Health (Columbus, OH)
- …for payment as part of consideration for employment. ** PBM Pricing Strategy Analyst Manager ** + Job Family: AFA > Financial Operations + Type: Full time + ... remote work and 1-2 days in office per week. The ** PBM Pricing Strategy Analyst Manager ** is responsible for Pharmacy Services pricing and Administrative… more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Pharmacy Benefit Operations Manager provides supervision of ... ), consultants, pharmacies, provider offices, brokers, and members. The Pharmacy Benefit Operations Manager will...(5) years of experience in the managed care or pharmacy benefit management ( PBM ) industries. + At… more
- WTW (Short Hills, NJ)
- …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
- 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
- Health First (Rockledge, FL)
- …of the daily pharmacy program operations and the contracted Pharmacy Benefits Manager ( PBM ). Ensure achievement of organizational and departmental ... goals through vigorous monitoring of pharmacy department metrics. *PRIMARY ACCOUNTABILITIES* 1. Adhere to all regulatory and certification guidelines including… 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
- Elevance Health (Columbus, OH)
- …a check, or ask you for payment as part of consideration for employment. **Clinical Pharmacy Account Director - Pharmacy Benefit Management** + Job Family: SLS > ... + West Virginia, Charleston + New Jersey, Morristown **Description** **Clinical Pharmacy Account Director - Pharmacy Benefit Management** **Location:** The… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Product Manager - REMOTE /Medical Specialty Pharmacy **Job Description** The Product ... and innovations, moving from strategy to execution. The Product Manager acts as a short-term project manager ,...Microsoft Office Suite **Preferred Qualifications** + 1 year of Pharmacy Benefit Management ( PBM ) experience **Minimum Physical… 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
- CVS Health (Frankfort, KY)
- …to make health care more personal, convenient and affordable. Position Summary As a Sr. Manager you will be a key member of a team providing strategic solutions and ... part of the Analytical and Behavioral Change (A&BC) Specialty Pharmacy Analytics Team, you will work with key systems...Team, you will work with key systems across the PBM and Retail businesses, leading automation and process improvement… more
- Humana (New Hyde Park, NY)
- … business acquired by Humana in 2021. Enclara is the nation's largest full-service pharmacy benefits manager ( PBM ) specifically for the hospice and ... community and help us put health first** The Mail Operations Pharmacy Technician 1 accurately fills and...is the nation's largest full-service hospice and palliative care Pharmacy Benefits Manager , offering compassionate and cost-effective… more
- Elevance Health (Columbus, OH)
- …of 25% will be required. **Preferred Skills, Capabilities and Experiences:** + Pharmacy / PBM experience strongly preferred + Experience in Third party ... you for payment as part of consideration for employment. ** Pharmacy Account Executive** + Job Family: SLS > Sales...new and renewal implementation process for accounts. Interfaces with operations to ensure smooth delivery of services. + Maintains… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. PTCB certification. 2. Specialty Pharmacy experience. 3. Pharmacy data entry and PBM Billing experience. **Competencies:** 1. **Decision ... Summary: Accurately inputs patient, insurance, and prescription information into the pharmacy system. Answers incoming calls and assists callers with non-clinical… 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
- 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 (Phoenix, AZ)
- …Commercial Sales Elevance team, you will serve as the liaison leader supporting a PBM and their clients. This is an excellent opportunity to interface with Executive ... changing regulatory landscape, - Partnering with Account Management, Clinical and Operations to deliver on client satisfaction up-sell opportunities and service… more
- CVS Health (Irving, TX)
- …a member of the Pharmacy Benefit Management ( PBM ) Finance Operations Department. The Sr. Manager will have ownership and accountability over activities ... considered Position Summary The Sr. Manager , Member Copay Billing is...Manager will partner with teams from across the PBM organization as well as third parties to ensure… more