- Scriptsourcing LLC (Bonita Springs, FL)
- …Public Health, or a related field is required. 3-5 years of experience in pharmacy benefits management , PBM operations, health plan administration, ... and teams Extensive experience with PBM /TPA operations Expertise in pharmacy benefits and formulary management Strong compliance and regulatory awareness… more
- OnePoint Patient Care (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 maintain...custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per… more
- Actalent (Houston, TX)
- …independently. Flexibility to change and resourcefulness. Additional Skills & Qualifications Previous Pharmacy Benefits Management ( PBM ) or Case/Care ... role, you will utilize your clinical skills to conduct utilization management reviews, including prior authorizations, coverage exceptions, and quantity limit… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …in Pharmacy required Minimum 1 year retail, community health center pharmacy experience Minimum 3 years management experience to include responsibility for ... Finance on contracts, patient statements, and inventory invoices. Manages PBM contracting, credentialing, compliance, and audit responses. Supervises drug... pharmacy operations, clinical pharmacy programs, and staff management . BLS for… more
- Elevance Health (Morristown, NJ)
- …Experiences and Skills: Travels to worksite and other locations as necessary. PBM /Account Management experience preferred. Experience working within a TPA ... Anticipated End Date: 2025-07-21 Position Title: Pharmacy Account Executive Sr. Job Description: Pharmacy Account Executive Sr. Location: This role requires… more
- Actalent (Canutillo, TX)
- … 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
- Amber Specialty Pharmacy (Omaha, NE)
- …of Specialty and Transplant drug reimbursement, Managed Care Medical Specialty and PBM drug benefits . Initiative-taking and results driven. Highly effective in ... Additional Considerations (if any): At Amber Specialty Pharmacy , our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the… more
- UnitedHealth Group (Schaumburg, IL)
- …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, ... find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact...health care? OptumRx is creating an innovative approach to Pharmacy Benefit Management . Here you'll find a… more
- Actalent (St. Paul, MN)
- …with the State Board of Pharmacy . Additional Skills & Qualifications Previous Pharmacy Benefits Management or Case/Care Management experience ... Remote Pharmacist (100% remote; Entry Level, PBM ) Long-Term Opportunity | Offers Benefits ...independently within a team of your peers and other pharmacy professionals. Responsibilities Conduct utilization management reviews… more
- MedImpact (Tempe, AZ)
- …service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary: Responsible for ... factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with...submit your resume to www.medimpact.com/careers MedImpact, is a privately-held pharmacy benefit manager ( PBM ) headquartered in San… more
- Surescripts (Arlington, VA)
- …or user stories 3+ years of experience in physician vendor applications, pharmacy or PBM services User-Experience Design training or background Experience ... in support of goals and investments. Ideas Evaluation and Management Capture and analyze new feature and product ideas...unable to provide support or provide sponsorship for immigration benefits such as work visas. Additionally, we do not… 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 (Buffalo Grove, IL)
- …Summary** The Lead Director, myPBM Client & Ecosystem is responsible for overseeing the Pharmacy Benefits Management ( PBM ) segment by managing, ... requires a visionary leader with a strong technical background, exceptional management skills, and the ability to collaborate effectively with cross-functional… 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
- 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 (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
