- AscellaHealth (Berwyn, PA)
- …knowledge of PBM operations preferred, including benefit design, specialty pharmacy services, rebate management, claims processing, and clinical program ... responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position… more
- Elevance Health (Norfolk, VA)
- …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 education ... pharmacy benefits. By leveraging the power of new technologies, our strong, clinical -first lens and deep pharmacy expertise, we are actively defining our… more
- WTW (Nashville, TN)
- … benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits ... Watson is looking for an energetic individual with growth, pharmacy , clinical and client facing expertise to...benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to work from the Hingham office 2x per month. Your Day to Day: + Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, ... transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager ...and clinical staff + Work closely with Clinical Pharmacy and PBM … more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job will be accountable for the clinical pharmacy operations area, specifically the clinical team of ... operations team. This job will work closely with the clinical pharmacy strategies and other pharmacy...and/or member engagement + 3 years in managed care pharmacy and/or pharmacy benefit management ( PBM… more
- Sanford Health (Sioux Falls, SD)
- …activities in a prudent, cost effective manner. Leads the development of integrated clinical pharmacy programs and services in support of goals and objectives. ... provider educational materials to ensure accuracy. Oversees the Badgercare Pharmacy Lock In Program to manager Health...a supervisory or management position. Experience in a community pharmacy practice, ambulatory care clinical pharmacy… more
- Intermountain Health (Murray, UT)
- …and network contracts. **Skills** + Pharmacy Benefits Management ( PBM ) + Pharmacy Services + Clinical Pharmacy + Communication + Presentation Skills ... **Job Description:** The Pharmacy Services Manager provides leadership and...and Scripius. This position contributes to the strategic and clinical direction of the department. The Manager … more
- 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 ... to ensure regulatory compliance and service excellence. Reporting to the Director, Pharmacy Operations and in partnership with the Clinical Manger, this… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Senior Specialty Clinical Pharmacist Manager , the Specialty Pharmacy Financial Access Manager ... supervises Financial Access Coordinator staff and interacts with clinical employees on multiple levels, including pharmacists, nurses, medical/...billing and benefits investigation + 1 year of retail pharmacy experience + 1 year of PBM … more
- Access Dubuque (Dubuque, IA)
- …with the market, as it is ever-changing. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. ... to work closely with Subject Matter Experts (such as Clinical , Proposal Services, and Rebates) teams to incorporate their...**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving… more
- Elevance Health (Norfolk, VA)
- **Implementation Manager Senior - Pharmacy Benefit Management** A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) ... leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy ...accommodation is granted as required by law. The **Implementation Manager Senior - PBM ** will be responsible… more
- Sharp HealthCare (San Diego, CA)
- …QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication ... of service to our physicians and patients. Supports front end and clinical procedures within the pharmacy department including initial intakes, follow-ups,… more
- Apex Health Solutions (Houston, TX)
- …products and programs as it relates to CMS and other regulatory entities. Interacts with pharmacy benefit manager ( PBM ) to support the implementation of new ... Position Summary: The Pharmacy services Specialist will assist the Clinical... pharmacy tech in a retail or community pharmacy setting, health plan, HMO and/or PBM … more
- Mount Sinai Health System (New York, NY)
- …supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty ... years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of… more
- Baylor Scott & White Health (Temple, TX)
- …Baylor Scott & White Health (BSWH). This includes selecting and managing the outsourced Pharmacy Benefit Manager ( PBM ). They also handle the purchase, ... revenue, expense management, rebates, and total net earnings. + Oversees the Pharmacy Benefit Manager ( PBM ) relationship, ensuring market competitiveness,… more
- WTW (Houston, TX)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits ... Watson is looking for an energetic individual with growth, pharmacy , clinical and client facing expertise to... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Experience with… more
- WTW (Atlanta, GA)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... define a multi-year strategy for expanding the comprehensiveness of our integrated pharmacy and clinical offerings + Own product research, development,… 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
- University of Rochester (Rochester, NY)
- …and affiliated systems. This candidate will provide direction in Ambulatory/Outpatient Pharmacy to include business development, operations management, clinical ... market access and contracts. + Maintains relationships with Total Rewards and pharmacy benefit manager responsible for employee benefits. Facilitates expanded … more
- Elevance Health (San Antonio, TX)
- …(CPhT) or related certification preferred. + Familiarity with benefits investigation and pharmacy PBM processes, preferred. + Strong organizational skills and ... **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx),...easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty… more
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