• Pharmacy Benefits Manager

    Elevance Health (Woburn, MA)
    ** Pharmacy Benefits Manager ** **( PBM ) Pricing Strategy Analyst, Senior** **Location:** This role requires associates to be in-office 1-2 days per week, ... 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… more
    Elevance Health (07/25/25)
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  • PBM Pricing Strategy Analyst

    Elevance Health (Norfolk, VA)
    …a BA/BS in Finance or related field and a minimum of 1 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of ... of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong,… more
    Elevance Health (06/27/25)
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  • Pharmacy Benefits Manager

    Elevance Health (Indianapolis, IN)
    …in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager ( PBM ), pricing, data analysis; or any combination ... ** Pharmacy Benefits Manager Pricing...** Pharmacy Benefits Manager Pricing Strategy Analyst ...by law. The ** PBM Pricing Strategy Analyst Manager ** is responsible for Pharmacy Services pricing… more
    Elevance Health (07/25/25)
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  • Senior Strategic Advisor, Pharmacy

    BlueCross BlueShield of North Carolina (NC)
    …key vendor partners. The ideal candidate will have experience at a health plan and/or Pharmacy Benefits Manager ( PBM ) industry, have Medicare pharmacy ... the development of strategic pharmacy projects and Pharmacy Benefit Manager ( PBM ) partnership...employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal… more
    BlueCross BlueShield of North Carolina (08/01/25)
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  • Associate Director, Pharmacy Consulting

    WTW (Nashville, TN)
    …+ Pharmacy benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... Consultant you will be at the forefront of managing pharmacy benefits projects for clients and leverage...benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a… more
    WTW (07/30/25)
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  • Pharmacy Technician-Specialties - Sharp…

    Sharp HealthCare (San Diego, CA)
    …for SSPS QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate ... **Facility:** Centralized Pharmacy **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time**… more
    Sharp HealthCare (07/26/25)
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  • Pharmacy Consulting, Lead Associate

    WTW (Houston, TX)
    …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Associate you will be at the forefront of managing pharmacy benefits projects for large, complex clients... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Experience with… more
    WTW (06/03/25)
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  • Director, Pharmacy Consulting

    WTW (Atlanta, GA)
    …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... cost-savings and member engagement strategies + Strategy for effectively managing pharmacy benefits aligned with broader health care goals + Specialty drug… more
    WTW (07/29/25)
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  • Senior Associate, Pharmacy Consulting

    WTW (San Francisco, CA)
    …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Consultant, you will be at the forefront of managing pharmacy benefits projects for large, complex clients.... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
    WTW (07/31/25)
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  • Pharmacy Consulting- Senior Associate

    WTW (Detroit, MI)
    …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Consultant you will be at the forefront of managing pharmacy benefits projects for large, complex clients.... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
    WTW (06/26/25)
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  • Agency For Health Care Administrator-SES

    MyFlorida (Tallahassee, FL)
    …of supervisory experience. - Two years of experience working with a Medicaid health plan or Pharmacy Benefits Manager ( PBM ). - Preference will be given ... in coordinating clinical and claim system changes with the pharmacy benefit manager , including approval of coding...expected to report to work daily and on time. Benefits of Working for the State of Florida: Working… more
    MyFlorida (07/31/25)
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  • Assumptions Specialist - Senior Analyst

    CVS Health (Springfield, IL)
    …progress being made towards achieving actuarial credential. + 1+ years of experience working for a pharmacy benefits manager ( PBM ) or in Rx consulting. + ... stakeholders. + **Client Modeling Support** (25%): Support of live PBM client modeling through adhoc client analytics requests and...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (07/26/25)
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  • Pharmacist Operations Advisor

    US Tech Solutions (May, OK)
    …for a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager ( PBM ) **Skills:** + MUST HAVE ... + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at least two years… more
    US Tech Solutions (07/27/25)
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  • Sr Mgr., Corporate Compliance - Pharmacy

    CVS Health (Scottsdale, AZ)
    …state regulatory agencies and their contracted auditing organizations. As a Senior Manager , PBM Market Conduct Exam Support within Corporate Compliance, you ... each and every day. **Position Summary:** The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for...dynamic individual to join our team in a Senior Manager role. This position will perform highly complex support… more
    CVS Health (07/30/25)
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  • Manager , Corporate Compliance…

    CVS Health (Scottsdale, AZ)
    …to external state regulatory agencies and their contracted auditing organizations. As a Manager , PBM Market Conduct Exam Support within Corporate Compliance, you ... + 5-7 years of combined experience in a project manager / PBM role/Market conduct exam role. + Excellent...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (07/30/25)
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  • Senior Relationship Account Manager

    AscellaHealth (Berwyn, PA)
    …to delivering value through a comprehensive understanding of specialty pharmacy benefits , rebate strategies, and core PBM functions. This individual will ... responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position… more
    AscellaHealth (06/26/25)
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  • PBM Compliance Manager (Claims…

    Elevance Health (Norfolk, VA)
    …accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance activities and ... ** PBM Compliance Manager (Claims Audit)** **Location:**...worksite and other locations as necessary. + Experience with pharmacy claims is preferred. Please be advised that Elevance… more
    Elevance Health (07/29/25)
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  • Pharmacy Operations Clinical Pharmacist…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …to resolve pharmacy related issues and inquiries regarding UM programs and pharmacy benefits to various internal and external business partners. + Manage the ... transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and...clinical operational UM activities to ensure that all Commercial ( Pharmacy and Medical benefits ) and Medicare Advantage… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Pharmacy Services Manager

    Intermountain Health (Murray, UT)
    …of business. + Oversees and/or coordinates pharmacy and network contracts. **Skills** + Pharmacy Benefits Management ( PBM ) + Pharmacy Services + ... **Job Description:** The Pharmacy Services Manager provides leadership and...and promotes the changes needed to provide cost-effective quality pharmacy benefits to members. **The shifts for… more
    Intermountain Health (07/29/25)
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  • Manager I, Pharmacy Operations

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Role The Pharmacy Operations Manager plays a critical role in the management of the ... Pharmacy prior authorization process which encompasses staffing, workflow management,...new clinical program implementation through partnership with Clinical Operations Manager . + Represent the interest of our members and… more
    Blue Cross Blue Shield of Massachusetts (07/23/25)
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