• PBM Technical Operations

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Director , PBM Technical Operations provides leadership, oversight, and guidance to technical and ... benefit, eligibility, and transactions interfaces with CareFirst's third party PBM . The Director is responsible for all...**ESSENTIAL FUNCTIONS:** + Directs the day to day business technical resources for PBM Operations ,… more
    CareFirst (05/07/25)
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  • Executive Director , Data Architecture

    CVS Health (Buffalo Grove, IL)
    …every day. **Position Summary** CVS Health is recruiting for an Executive Director , Data Architecture. The PS Solution Engineering and Automation organization is ... least 5 years in a Principal position. * Best-in-class technical subject matter expertise and domain knowledge. * Extensive...single source of truth for various data domains within PBM to ensure the availability of clean, accurate, and… more
    CVS Health (05/03/25)
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  • Lead Director , Technology - Underwriting…

    CVS Health (Richardson, TX)
    …it all with heart, each and every day. **Position Summary** The Lead Director , Technology will manage PBM Underwriting & Finance Applications, the organization ... that develops and operates the systems and processes for PBM client underwriting, client contract management and trade products for CVS Health. The Lead Director more
    CVS Health (05/04/25)
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  • Executive Director , Enterprise Automation…

    CVS Health (Scottsdale, AZ)
    …And we do it all with heart, each and every day. As the Executive Director of Enterprise Automation and Innovation, this role will be responsible for leading the CVS ... hundreds of distributed citizen bot developers across the enterprise. The Executive director will drive the strategy, vision, and execution of the Automation COE,… more
    CVS Health (05/16/25)
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  • Senior Director , Ambulatory Pharmacy…

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director , Ambulatory Pharmacy Services is responsible for the oversight, ... provide direction in Ambulatory/Outpatient Pharmacy to include business development, operations management, clinical services, pharmacy data analytics, and pharmacy… more
    University of Rochester (03/06/25)
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  • Executive Director of Enterprise Automation…

    Insight Global (Irving, TX)
    Job Description Insight Global is recruiting for an Executive Director , Enterprise Automation, and Innovation. As the Executive Director of Enterprise Automation ... a technology) and assess their potential application to the PBM business as focus, while providing enabling services to...Oversee generation of budgets and chargeback models to support operations . Manage the budget for the enterprise COE which… more
    Insight Global (05/16/25)
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  • Senior Director Product Development…

    Providence (Irvine, CA)
    …we have an unparalleled opportunity awaiting you! **The Role** As the Senior Director of Product Development, you will spearhead the successful growth and operation ... Partner:** In collaboration with the COO, support the daily operations of PSJHN and its provider network, focusing on...level. At least 5 years of leadership experience. + ** Technical Proficiency:** Expertise in utilizing Excel, Access, SQL, or… more
    Providence (03/22/25)
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  • Associate Director Ambulatory Pharmacy…

    Penn Medicine (Philadelphia, PA)
    …for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, ... you living your life's work? **Summary:** + The Associate Director ("AD") will assist in the planning, development, coordination...Forge. + The AD will identify opportunities to enhance operations and the patient experience with a focus on… more
    Penn Medicine (04/02/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Washington, DC)
    …to adjust focus **Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations , Specialty Operations , Clinical ... root cause and collaborates with others to resolve complex business and technical issues and customer inquiries. + Provides prompt and thorough resolution for… more
    Prime Therapeutics (04/25/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional pharmacy Non-Bargaining Unit, 196 ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the… more
    Mount Sinai Health System (04/09/25)
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