- Elevance Health (Grand Prairie, TX)
- **Go to Market Director - PBM Products** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... go-to-market strategies for CarelonRx, partnering with Elevance Health's commercial leaders and PBM product teams. This position is vital in driving the business… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Director, PBM Technical Operations provides leadership, oversight, and guidance to technical and operational support ... technical and operational accountability for all Pharmacy Benefit Management ( PBM ) related programs, technical design, implementations and deployments, and ongoing… more
- CVS Health (Scottsdale, AZ)
- …IL., Scottsdale, AZ., or Minneapolis, MN **Position Summary:** The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic ... regulatory agencies and their contracted auditing organizations. As a Senior Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will: + Work… more
- CVS Health (Scottsdale, AZ)
- …IL., Scottsdale, AZ. or Minneapolis, MN **Position Summary:** The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic ... state regulatory agencies and their contracted auditing organizations. As a Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will: + Support… more
- CVS Health (Chicago, IL)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Finance Enablement team as a Manager, Compliance Pharmacy Payments within the PBM ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Manager, within the...will report to the Sr. Reporting Manager within the PBM Reporting team. To be successful in this role,… more
- The Cigna Group (Chattanooga, TN)
- …Description Summary:** The Managing Director of the Pharmacy Benefit Management ( PBM ) Customer Service Operations will be responsible for leading and overseeing ... members. This role requires a strategic leader with a deep understanding of PBM operations, exceptional leadership skills, and a passion for enhancing the customer… 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
- Elevance Health (Indianapolis, IN)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : PBM Pricing Strategy Analyst **Location(s):** + 4361 Irwin Simpson Road, **Mason, ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** PBM Pricing Strategy Analyst** is responsible for Administrative Services Only (ASO)… more
- CVS Health (Scottsdale, AZ)
- …And we do it all with heart, each and every day. **Position Summary** The PBM Data Enablement Data Steward takes ownership of the data strategy for their assigned ... agile and collaborative individual who will partner with the PBM Customer Reporting & Data Operations Team, Customer Reporting...This role requires clear communication and ongoing engagement across PBM business units to ensure that data is easily… more
- Elevance Health (Charleston, WV)
- **Test Analyst - Pharmacy Benefit Management ( PBM )** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy benefit management ( PBM ), including benefit administration, enrollment, and claims processing +… more
- Elevance Health (Overland Park, KS)
- **Senior Test Lead - Pharmacy Benefit Manager ( PBM )** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy benefit management ( PBM ), including benefit administration, enrollment and claims processing +… more
- CVS Health (Buffalo Grove, IL)
- …& Ecosystem is responsible for overseeing the Pharmacy Benefits Management ( PBM ) segment by managing, developing, and supporting web-based development platforms and ... vision, direction, and guidance to the Development and SRE organizations for PBM platforms, and aligning the IT resources, capabilities, and processes with the… more
- The Cigna Group (Jefferson City, MO)
- …Management at finalist meetings and in the market + Remains current on PBM industry trends and competitive knowledge + Maintains positive working relationships with ... transition **Qualifications** + Bachelor's degree preferred + 2 plus years in the PBM sector including product and pricing + Sales or direct client management… 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 (Downers Grove, IL)
- …years of contract experience required with a preferred knowledge of PBM business/operations. + Experience in redlining documents. **Preferred Qualifications** + ... Demonstrated ability to manage and organize projects from start to completion + Prior contracting experience in healthcare and knowledge on contracting terminology + Proficiency in Microsoft Word + Proficiency in Microsoft Excel + Ability to work independently… more
- CareFirst (Baltimore, MD)
- …the day-to-day operations, performance, and oversight of pharmacy economics and PBM functions. The Director will lead and oversee ongoing day-to-day functions ... of the PBM and pharmacy supply chain model to ensure long...readiness. The ideal candidate will bring deep experience in PBM operations, pharmacy economics, and large-scale delivery. **ESSENTIAL FUNCTIONS:**… more
- AbbVie (North Chicago, IL)
- …PURPOSE OF ROLE Leads assessment of and strategy development for PBM Reform/Transformation with a 2-10-year horizon view. Leads large cross-functional workstreams ... Impact. RESPONSIBILITIES + Lead the development and understanding of deep PBM Channel Dynamics and Transformation Drivers/Potential Scenarios to extraordinary depth… more
- HCA Healthcare (Nashville, TN)
- …Sourcing is responsible for managing all aspects of the contract for the HealthTrust PBM Program which has $5.8B in annual spend. The position is responsible for ... managing the master services agreement with the PBM supplier partner and ensuring that all contractual obligations...includes:** + Manage the master services agreement with the PBM supplier partner. + Negotiate terms and conditions of… more
- System One (Baltimore, MD)
- …This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The Program Manager will lead a major ... pharmacy supply chain implementation and PBM transition, overseeing execution activities, stakeholder alignment, contract and vendor management, and driving overall… more
- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview Responsible for strategic development and execution of PBM and 3rdParty Payor contracting for PharMerica LTC Pharmacy business units. ... Responsibilities + Oversees all Pharmacy PBM and 3rdParty Payor contracting process for LTC PharMerica...Medicaid. + Manage and negotiate national 3rdParty Payor and PBM contracts to ensure company's objectives are met in… more
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