- Walgreens (Deerfield, IL)
- …team members and communities. \#LI-TO1 **Job ID:** 1716269BR **Title:** Account Manager , Contract Development & PBM **Company Indicator:** Walgreens **Employment ... **Job Description:** Job Summary Responsible for end-to-end management of assigned PBM clients, including traditional account management, setting and leading the… more
- Point32Health (MA)
- …of programs, and trend review by therapeutic class. Work with Pharmacy Benefit Manager ( PBM ) to monitor pharmacy spend and performance to identify opportunities ... Under the direction of the Director, Clinical Pharmacy Operations, the Senior Manager , Clinical Pharmacy Operations is responsible for managing a team focused on… more
- Prime Therapeutics (Trenton, NJ)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building… more
- BrightSpring Health Services (Scottsdale, AZ)
- …Account Manager will also provide educational materials to facilitate compliance with procedures, tools, and resources + Works with other disciplines ... presentation building. + Working directly with key internal partners, the Account Manager achieves timely responses on all issues along with setting proper… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** The Finance Manager will be a key contributor on the Custom Guarantee Management team within PBM ... apply inputs to financial reporting requirements. + Ensure accurate documentation and compliance with internal policies. + Financial Analysis & Strategy: + Conduct… more
- Abbott (Abbott Park, IL)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting, you will be responsible for managing ... complex contract terms for Managed Care / Market Access contracts across large PBM /GPO relationships. + Employ a strong understanding of the US healthcare landscape… more
- Robert Half The Creative Group (Minneapolis, MN)
- …a large national healthcare-focused organization, in the search for a Communications Manager to join their clinical outreach team. This role supports the delivery ... Hours: 9am-5pm CST (Mon-Fri) Pay Rate: $48-50/hour Position Overview The Communications Manager will play a key role in managing and optimizing communications across… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …requirements to ensure deadlines are met. Works in conjunction with the Pharmacy Benefit Manager ( PBM ) and Formulary Management software vendor to execute on all ... encourage you to apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare Part D formulary creation and… more
- CVS Health (Buffalo Grove, IL)
- …can work knowing you are helping many people each day. The Senior Software Manager position reports to an executive director and exists to lead Innovation and ... time sheets for CVS and vendor resource to ensure compliance . + Commitment to ensuring teams adheres to the...AI and ML) **Preferred Qualifications** + Health Care and PBM background + AS400 / IBMi Series experience **Education**… more
- CareFirst (Baltimore, MD)
- …engineers, data architects, data analysts, and data scientists. As a Data Product Manager , you will establish and execute the data product operating model, define ... developing strategies to achieve business outcomes, drive innovation, and ensure compliance with regulatory, legal, and ethical requirements. You will collaborate… more
- CVS Health (Woonsocket, RI)
- …and energy to the team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong conceptual ... **Position Description** CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …role is key to driving successful IT development initiatives within the Pharmacy Benefits Manager ( PBM ) claims space. As a Senior Consultant, you will serve as ... have proven experience in business systems analysis, preferably within healthcare or PBM environments; additionally, you will have a strong understanding of PBM… more
- BrightSpring Health Services (Tempe, AZ)
- …value proposition to its clients. They lead a team of Sr. Account Manager 's, Account Manager 's and Managers. The Director cultivates and maintains on-going ... Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... contacts may include third party payers, accrediting bodies, insurance / PBM companies, government peer review organizations, accrediting bodies,external partners,… more
- Bristol Myers Squibb (Princeton, NJ)
- …Managers, vendors, and cross-functional teams to ensure operational excellence, compliance , and improve patient access. The Associate Director will contribute ... address maximizer/accumulator/AFP/cash-pay discount cards negatively impacting GTN + Ensure compliance with regulatory and company policies related to all patient… more
- Bristol Myers Squibb (Madison, NJ)
- …and Medicare Part D rebate processing and payments, data stewardship and compliance in connection with matrix team's financial reporting (GTN, projections and ... BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance , deal analytics, contract performance analytics and ad hoc data analytics… more
- CVS Health (Pierre, SD)
- …our internal and external audit teams. This position will support compliance accountability and identify process enhancements/improvements to prevent future risks to ... gaps in process + Work closely with PP&C Process Manager and Control Owners to close out potential audit...Policies and Procedures related to PS Finance Controls meet compliance requirements as specified by the Compliance … more
- Guidehouse (Boston, MA)
- …financial, operational, and technical-are validated for safety, reliability, and compliance across DPH hospitals, DMH facilities, SOPS, and community-based services. ... codes). + **Build Quality Audit (BQA)** : Confirm configuration accuracy and compliance with Oracle Health standards. + **System Testing** : Validate end-to-end… more
- CenterWell (Orlando, FL)
- …pharmacists. This role is a specialized function rooted in compliance , education, and conversion. Consumer Engagement, Consultative Pharmacy Technician are ... + Document member interactions with thoroughness and clarity in accordance with compliance standards. + Adhere to scripting protocols while maintaining a natural,… more
- University of Rochester (Rochester, NY)
- …is responsible for the oversight, operational integrity, regulatory/legal compliance and financial performance for all Ambulatory/Outpatient pharmacy programs ... procedures across the UR Medicine outpatient pharmacy system to ensure compliance with State and Federal Regulations, accreditation standards and third-party payer… more