- 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, ... in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education… more
- Elevance Health (Norfolk, VA)
- …a BA/BS in Finance or related field and a minimum of 1 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of ... of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong,… more
- Elevance Health (Indianapolis, IN)
- …in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager ( PBM ), pricing, data analysis; or any combination ... ** Pharmacy Benefits Manager Pricing...** Pharmacy Benefits Manager Pricing Strategy Analyst ...by law. The ** PBM Pricing Strategy Analyst Manager ** is responsible for Pharmacy Services pricing… more
- BlueCross BlueShield of North Carolina (NC)
- …key vendor partners. The ideal candidate will have experience at a health plan and/or Pharmacy Benefits Manager ( PBM ) industry, have Medicare pharmacy ... the development of strategic pharmacy projects and Pharmacy Benefit Manager ( PBM ) partnership...employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal… more
- WTW (Nashville, TN)
- …+ Pharmacy benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... Consultant you will be at the forefront of managing pharmacy benefits projects for clients and leverage...benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a… more
- Sharp HealthCare (San Diego, CA)
- …for SSPS QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate ... **Facility:** Centralized Pharmacy **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time**… more
- WTW (Houston, TX)
- …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Associate you will be at the forefront of managing pharmacy benefits projects for large, complex clients... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Experience with… more
- WTW (Atlanta, GA)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... cost-savings and member engagement strategies + Strategy for effectively managing pharmacy benefits aligned with broader health care goals + Specialty drug… more
- WTW (San Francisco, CA)
- …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Consultant, you will be at the forefront of managing pharmacy benefits projects for large, complex clients.... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
- WTW (Detroit, MI)
- …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Consultant you will be at the forefront of managing pharmacy benefits projects for large, complex clients.... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
- CVS Health (Springfield, IL)
- …progress being made towards achieving actuarial credential. + 1+ years of experience working for a pharmacy benefits manager ( PBM ) or in Rx consulting. + ... stakeholders. + **Client Modeling Support** (25%): Support of live PBM client modeling through adhoc client analytics requests and...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- MyFlorida (Tallahassee, FL)
- …of supervisory experience. - Two years of experience working with a Medicaid health plan or Pharmacy Benefits Manager ( PBM ). - Preference will be given ... in coordinating clinical and claim system changes with the pharmacy benefit manager , including approval of coding...expected to report to work daily and on time. Benefits of Working for the State of Florida: Working… more
- US Tech Solutions (May, OK)
- …for a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager ( PBM ) **Skills:** + MUST HAVE ... + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at least two years… 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 ... + 5-7 years of combined experience in a project manager / PBM role/Market conduct exam role. + Excellent...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- AscellaHealth (Berwyn, PA)
- …to delivering value through a comprehensive understanding of specialty pharmacy benefits , rebate strategies, and core PBM functions. This individual will ... responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position… more
- Elevance Health (Norfolk, VA)
- …accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance activities and ... ** PBM Compliance Manager (Claims Audit)** **Location:**...worksite and other locations as necessary. + Experience with pharmacy claims is preferred. Please be advised that Elevance… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to resolve pharmacy related issues and inquiries regarding UM programs and pharmacy benefits to various internal and external business partners. + Manage the ... transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and...clinical operational UM activities to ensure that all Commercial ( Pharmacy and Medical benefits ) and Medicare Advantage… more
- Intermountain Health (Murray, UT)
- …of business. + Oversees and/or coordinates pharmacy and network contracts. **Skills** + Pharmacy Benefits Management ( PBM ) + Pharmacy Services + ... **Job Description:** The Pharmacy Services Manager provides leadership and...and promotes the changes needed to provide cost-effective quality pharmacy benefits to members. **The shifts for… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Role The Pharmacy Operations Manager plays a critical role in the management of the ... Pharmacy prior authorization process which encompasses staffing, workflow management,...new clinical program implementation through partnership with Clinical Operations Manager . + Represent the interest of our members and… more