- Novo Nordisk Inc. (Plainsboro, NJ)
- …a strong collaborator across MAPA and NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no surprises and is seen as a ... with aligned regional accounts team on ACO approach with health plan, PBM and health system customers Evolve Customer Engagement Strategy and Approach: Establishes… more
- Elevance Health (Norfolk, VA)
- ** PBM Compliance Manager (Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance activities… more
- 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 (Scottsdale, AZ)
- …to external state regulatory agencies and their contracted auditing organizations. As a Manager , PBM Market Conduct Exam Support within Corporate Compliance, you ... Qualifications:** + 5-7 years of combined experience in a project manager / PBM role/Market conduct exam role. + Excellent analytical, verbal, and writing… more
- 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, fostering ... field and a minimum of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and experience, which would… more
- AscellaHealth (Berwyn, PA)
- …specialty pharmacy and healthcare services organization, is seeking a Senior Relationship Account Manager for our Berwyn, PA location. The person in this role will ... new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value… more
- Elevance Health (Norfolk, VA)
- …related field and a minimum of 1 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and experience, which ... industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : PBM Pricing Strategy Analyst **Location(s):** + 4361 Irwin Simpson Road, **Mason,… more
- State of Arkansas (Little Rock, AR)
- …Pulaski Anticipated Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager . The PBM Division Manager ... and monitors all PBM -related complaints, licensing, and renewal activities. The Manager also oversees a small professional staff and serves as the Division's… more
- CVS Health (Cheyenne, WY)
- …and every day. **Position Summary** This role is for the **Meritain Health PBM ** ( _Pharmacy Benefit Manager_ ) **Operations Team** and is responsible for processing ... PBM vendor invoices and claims. The ** PBM Invoice Processor** is assigned a set of groups to maintain their invoices on a weekly, bi-weekly, or monthly basis.… more
- Walgreens (Deerfield, IL)
- …service. **Job Responsibilities** + Respond to all levels of inbound Pharmacy Benefit Manager ( PBM ) and major medical insurance related phone calls. + Resolves ... questions and problems submitted by customers and Pharmacy Benefit Manager ( PBM ) following established guidelines and standard SOPs and procedures. Utilizes all… more
- Elevance Health (Indianapolis, IN)
- …for employment, unless an accommodation is granted as required by law. The ** PBM Pricing Strategy Analyst Manager ** is responsible for Pharmacy Services pricing ... and a minimum of 5 years of experience with a Pharmacy Benefits Manager ( PBM ), pricing, data analysis; or any combination of education and experience, which… more
- Access Dubuque (Dubuque, IA)
- …as it is ever-changing. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- BlueCross BlueShield of North Carolina (NC)
- …ideal candidate will have experience at a health plan and/or Pharmacy Benefits Manager ( PBM ) industry, have Medicare pharmacy experience, have the proven ability ... evaluate and lead the development of strategic pharmacy projects and Pharmacy Benefit Manager ( PBM ) partnership efforts to meet BCBSNC's growth objectives, as… more
- Access Dubuque (Dubuque, IA)
- …and business partnerships. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …according to the Medicare Part D defined guidelines + Work with the Pharmacy Benefit Manager ( PBM ) and formulary manager to manage formulary changes and ... new drug reviews and coding to be submitted to the Pharmacy Benefit Manager , New Contract Year formulary evaluation, and rebate strategy evaluation. The Clinical… more
- CVS Health (Northbrook, IL)
- …The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager ( PBM ). Implementations Managers play a critical role in onboarding ... lines of business and implementing plan changes. Given the complexities of todays PBM landscape, setting up a new client involves managing financial, product, and… more
- Elevance Health (Norfolk, VA)
- …employment, unless an accommodation is granted as required by law. The **Implementation Manager Senior - PBM ** will be responsible for leading and/or planning ... **Implementation Manager Senior - Pharmacy Benefit Management** A proud...and business needs. + Experience in Pharmacy Benefit Management ( PBM ) preferred. + Experience in leading workstreams and/or solutioning… more
- WTW (Nashville, TN)
- …benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM ... understanding of the pharmacy benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a benefits consultant + A… more
- CVS Health (Springfield, IL)
- …towards achieving actuarial credential. + 1+ years of experience working for a pharmacy benefits manager ( PBM ) or in Rx consulting. + PBM and/or Healthcare ... with various stakeholders. + **Client Modeling Support** (25%): Support of live PBM client modeling through adhoc client analytics requests and partnering with… more
- Sharp HealthCare (San Diego, CA)
- …+ Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication of medications that ... are authorized by Sharp Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices… more
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