- Intermountain Healthcare (Salt Lake City, UT)
- …lines of business. Oversees and/or coordinates pharmacy and network contracts. Skills Pharmacy Benefits Management ( PBM ) Pharmacy Services ... this position. Essential Functions Ensures coordination and communication of pharmacy benefit management ( PBM ) programs...a managed care or hospital environment. Five years of Pharmacy Benefits management experience. Preferred… more
- Actalent (Nashville, TN)
- …determination requests and ensuring efficient communication between providers, members, and the pharmacy benefit management ( PBM ) system. Your key duties ... Job Title: Remote Pharmacy Technician Job Description: As a Remote ...based on defined criteria and entering decisions into the PBM system. Notifying physicians, providers, and members of coverage… more
- KAI Partners, Inc. (Roseville, CA)
- …of healthcare and pharmacy benefit initiatives. Responsibilities Apply expert knowledge of pharmacy benefit management ( PBM ) to support the validation of ... Hire position with KAI Partners. C2C will not be considered at this time. Pharmacy Benefits Operation Consultant KAI Partners, Inc. (KAIP) is currently seeking … more
- Highmark Health (Wexford, PA)
- …department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy ... for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of… more
- Actalent (Happy Valley, OR)
- … settings. Knowledge of Medicare and Medicaid. Experience with prescription benefits management . National certification (eg, PTCB, NHA). Work Environment ... Job Title: Remote Pharmacy Technician Job Description Pharmacy technicians...requests based on criteria and enter decisions into the PBM system. Notify providers and members of decisions. Respond… more
- Alameda Alliance For Health (Alameda, CA)
- …tool, phone system software Quality Management Solution, Pharmacy Benefits Management applications ( PBM ), Interpreter vendor scheduling software, ... contact for members, providers and others for questions related to claims, benefits , authorizations, pharmacy , member eligibility and other questions related to… more
- Birdi (Paradise Valley, AZ)
- …Bachelor's degree in accounting, finance, or a related field Prior experience in Pharmacy , PBM preferred. Minimum of 5 years of experience in an ... Title: Accounting Manager (Healthcare/ Pharmacy ) Shift: Monday through Friday, 8:00am to 5:00pm...data, track performance against budget, and analyze variances. Support management in forecasting cash flows, profitability, and financial needs.… more
- Regal Medical Group, Inc. (Northridge, CA)
- …required Current licensure as a pharmacist in the State of California Knowledge of PBM industry, formulary management , pharmacy claims and managed care ... and establishing standard operating procedures. 4. Actively participate in the pharmacy management team's strategic planning, contributing significantly to… more
- Takeda Pharmaceutical Company Limited (Boston, MA)
- …future products. You will also be responsible for value story development, payer/ PBM contracting strategy, pricing, specialty pharmacy and distribution plans, ... in biopharma required; biopharma market access experience highly preferred (across payer, PBM , IDN, GPO, specialty pharmacy , etc.) Understanding of US payer… more
- UnitedHealth Group (Jeffersonville, IN)
- …with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits , data and resources they need to feel their best. Here, ... you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we… more
- US Tech Solutions (May, OK)
- …authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management ) required. + Since the ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- CVS Health (Northbrook, IL)
- … the data needed to make critical business decisions. This role will operate within the PBM ( Pharmacy Benefits Management ) unit of CVS Health. **Required ... will be responsible for supporting financial best practices within PBM Finance. You will ensure effective financial reporting, budgeting,...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Buffalo Grove, IL)
- …Engineer is responsible for managing the technical needs across PBM or Pharmacy Benefits Management space. They have accountability for the development, ... position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business...Jenkins, CircleCI + 3+ years of experience with source management tools like GitHub, GitLab + 3+ years of… more
- Intermountain Health (Murray, UT)
- …of business. + Oversees and/or coordinates pharmacy and network contracts. **Skills** + Pharmacy Benefits Management ( PBM ) + Pharmacy Services ... position.** **Essential Functions** + Ensures coordination and communication of pharmacy benefit management ( PBM ) programs...managed care or hospital environment. + Five years of Pharmacy Benefits management experience. **Preferred… more
- BrightSpring Health Services (Glenview, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... access, and verify the accuracy of data in the pharmacy and PBM systems. + Establish and...custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of Pharmacy & Clinical Consulting to drive business outcomes. The **Director, Pharmacy Operations & PBM Management ** will provide direction and oversight ... leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management , and other...management , formulary etc. Stays abreast of managed care pharmacy , pharmacy benefits manager, and… more
- BrightSpring Health Services (Glenview, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per...for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express… more
- BrightSpring Health Services (Lowell, MA)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per...for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express… more
- BrightSpring Health Services (Englewood, CO)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per...for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express… more
- BrightSpring Health Services (Glenview, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per...for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express… more
