- NFP (Chesterfield, MO)
- …the loop on client news and changes. Proficiently know the VPS and PBM marketplace, including carrier contacts and services, as well as carrier underwriting ... benefits in client enrollment meetings and webinars with the appropriate clients and PBM companies. Liaise between client, brokers, and PBM companies to… more
- The Judge Group Inc. (Montville, NJ)
- …automation systems used in pharmacy operations. Required Qualifications: Active and unrestricted Pharmacist license in the State of New Jersey. Minimum of 1 year ... of experience as a licensed Pharmacist . Proficiency in Microsoft Office applications and Windows-based systems,...in a fulfillment or mail-order pharmacy environment. Experience in Pharmacy Benefit Management ( PBM ) or managed care is highly… more
- Insight Global (Boston, MA)
- …being followed at all times. Working under the supervision of a licensed pharmacist (s) within the research space, the technician will assist with sterile and ... 1 year hospital/sterile processing (home infusion/CAPS/etc.) OR 3 years retail/specialty/ PBM Proficient with USP and USP (Non-sterile and Sterile compounding)… more
- MedImpact (San Diego, CA)
- …or an internal Subject Matter Expert or contact a dispensing pharmacist , prescriber or prescriber representative to obtain additional information; Provide drug ... Suite Word Processing software. Certificates, Licenses, Registrations Current, unrestricted Registered Pharmacist license in the State of California or a state of… more
- Actalent (Annapolis, MD)
- …will be responsible for approving or denying requests and forwarding them to a pharmacist for final review. This role involves handling all health plans and types of ... authorizations. Approve requests based on criteria and enter decisions into the PBM system. Notify providers and members of decisions. Respond to client inquiries… more
- US Tech Solutions (May, OK)
- …as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of ... candidates with that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have… more
- CVS Health (Austin, TX)
- …the United States. **Required Qualifications** * 2 years' experience working as a pharmacist in a PBM setting. Current experience working within Commercial Prior ... each and every day. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...Authorizations in Caremark PBM ** * Experience using clinical resources, eg, Micromedex, Lexicomp,… more
- Actalent (Tallahassee, FL)
- …prior authorizations, coverage exceptions, and quantity limit exceptions. As a pharmacist , you will work independently within a team of pharmacy professionals ... + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree. + Current pharmacist license in good standing with the State Board of Pharmacy in the state… more
- Actalent (Chicago, IL)
- 100% Remote Clinical Review Pharmacist Job Description Your primary role will involve utilizing your clinical skills to perform utilization management reviews, ... + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree. + Current pharmacist license in good standing with the State Board of Pharmacy where the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management, and other pharmacy programs and lead ... Consulting to drive business outcomes. The **Director, Pharmacy Operations & PBM Management** will provide direction and oversight in Premera's Pharmacy strategy,… more
- State of Arkansas (Little Rock, AR)
- …Number: 22181851 County: Pulaski Anticipated Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager. The ... PHARMACIST Date: Jul 24, 2025 Req ID: 51416...PBM Division Manager organizes and monitors all PBM -related complaints, licensing, and renewal activities. The Manager also… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage ... be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to meet with prescribers on a one-on-one basis… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day ... Day to Day: + Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, development,...issues. What You Bring: + Minimum of professional Registered Pharmacist degree required. Graduate study in a business, public… more
- US Tech Solutions (May, OK)
- **Job Title:** ** Pharmacist Operations Advisor** **Location: Remote** **Duration: 6+ months contract** **Shift: 8 hours shift between 11am to 730pm EST** **Job ... Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...setting ie, specialty medical office or Pharmacy Benefits Manager ( PBM ) **Skills:** + MUST HAVE MANAGED CARE exp and… more
- Elevance Health (Mason, OH)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist Sr. **Location(s):** Iselin, NJ, Atlanta, GA, Indianapolis, IN, Mason, OH, ... unless an accommodation is granted as required by law.** The **Clinical Pharmacist Sr.** is responsible for developing and implementing pharmacy programs. We are… more
- Elevance Health (Miami, FL)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Pharmacist Clinical **Location(s):** Miami, FL Hybrid: This role requires associates ... a dynamic and adaptable workplace. The **Population Health Management Pharmacist ( Pharmacist Clinical** ) is responsible for...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- CVS Health (Buffalo Grove, IL)
- …has an exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for a clinically interesting role that has a big impact ... role you are looking for! As a Clinical Development Pharmacist , you will create and maintain clinical content for...Qualifications :** - Residency or BCPS. - Knowledge of PBM and benefit design preferred - 3+ years of… more
- BrightSpring Health Services (Glenview, IL)
- Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our ... patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception ... and resolution for issues from MAPS, Health and Medical Management, IT & Ops, PBM account support team and other customer service areas + Develop strategies for… more
- Elevance Health (Overland Park, KS)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist **Location(s):** Indianapolis, IN, Durham, NC, Overland Park, KS, Atlanta, ... an accommodation is granted as required by law.** The ** Pharmacist Clinical** is responsible for managing the selection and...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
