- CVS Health (Pierre, SD)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst** performs prescription claim and accumulator audits, verifies policy coverage, ... assesses claim validity, and communicates with PBM ( _Pharmacy Benefit Manager_ ) vendors & client management teams. This person contributes to the efficient and… more
- CVS Health (Pierre, SD)
- …**Position Summary** This role is for the **Meritain Health PBM** ( _Pharmacy Benefit Manager_ ) **Operations Team** and is responsible for processing PBM vendor ... not limited to):** + Imports and monitors PBM claim data and invoice files. + Reconciles and balances claims...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Cardinal Health (Pierre, SD)
- …for our non-commercial pharmacy . We are looking for an experienced product manager with pharmacy experience to work in our mission driven organization where ... a Sonexus (TM) Access and Patient Support Senior Product Manager , you'll build products and/or product capabilities within the...a better quality of life. Our diverse expertise in pharmacy and hub services allow us to deliver best-in-class… more
- Highmark Health (Pierre, SD)
- …+ None **LICENSES or CERTIFICATIONS** **Required** + 5 years in a Health Plan or Pharmacy Benefit Manager (PBM) + 3 years of leading healthcare program ... include: + **Strategic Leadership:** Developing and executing the organization's MA pharmacy strategy, including formulary management, benefit design, and… more
- Intermountain Health (Pierre, SD)
- **Job Description:** This leader is responsible for managing all aspects of pharmacy services within their scope of responsibility. The leader will ensure that ... pharmacy services are delivered consistently with Intermountain Health's Fundamentals...written and verbal communication. + Researches, analyzes, and synthesizes data /informational elements to make well-informed clinical, business, and operational… more
- CVS Health (Pierre, SD)
- …we do it all with heart, each and every day. **Position Summary** As a Senior Manager of Strategy and Product Management, you will play a key role in executing the ... initiatives aligned with the organization's goals, utilizing project management tools, data analysis, and stakeholder feedback. + Collaborate with teams to… more
- Intermountain Health (Pierre, SD)
- **Job Description:** This incumbent is enrolled as a student in a college of pharmacy for the first year of education. The incumbent is in a training and learning ... cost-effective pharmaceutical care. The incumbent participates in many procedural aspects of pharmacy practice under the supervision of a licensed pharmacist and is… more
- Evolent (Pierre, SD)
- …the culture. **What You'll Be Doing:** **Oncology Pharmacist, Medical Pharmacy ** **Collaboration Opportunities:** The Oncology Pharmacist role collaborates with the ... + Introduce innovative initiatives supported with evidence and initial data . + Development of publications such as New Drug...serve as the clinical lead (SME) on the Rules Manager Team. + Ability to travel 15% for external… more
- CenterWell (Pierre, SD)
- …care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by ... SSRS reports and processes + Experience within the healthcare industry, specifically pharmacy benefit management related analytics. + Experience using Databricks… more
- Walgreens (Pierre, SD)
- …end of the store and making recommendations on the overall operations of the Pharmacy and Retail Store. Supports Store Manager with the overall operation of ... support external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach... in seeking community outreach opportunities. + Supports Store Manager in leveraging data , analysis, and team… more
- Cardinal Health (Pierre, SD)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in… more
- CVS Health (Pierre, SD)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Pricing will lead a team of 20+ colleagues in the management of pharmacy ... as guiding other internal business units to resolve issues quickly. The Senior Manager , Pricing is also responsible for working legal and compliance team to ensure… more
- Cardinal Health (Pierre, SD)
- …These steps include patient referral intake, investigating all patient health insurance benefits ( pharmacy and medical benefits ), and proactively following ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- CVS Health (Pierre, SD)
- …Candidates must be very strong in Excel. Experience in Tableau and other similar data and reporting tools are preferred. + Candidate must be very strong in critical ... volumes, workloads, work activities, rates and other conditions using data /statistical analysis. Participate/Lead weekly and monthly resource discussions with… more
- Prime Therapeutics (Pierre, SD)
- …work experience in legal, compliance or operations related roles in the healthcare or Pharmacy Benefit Manager (PBM) industry + 1 year of leadership/people ... It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Client Audit Services - Remote **Job Description** The Manager Client… more
- Cardinal Health (Pierre, SD)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience +… more
- Prime Therapeutics (Pierre, SD)
- …and drives every decision we make. **Job Posting Title** Health Plan Account Manager - REMOTE **Job Description** The Account Manager is responsible for ... directly with existing, small employer accounts to optimize the pharmacy spend at the account through use of Prime...steps, agreed actions and responsibly parties; ensure the appropriate data is captured within Salesforce in order for the… more
- Prime Therapeutics (Pierre, SD)
- …+ Experience delivering on premise and cloud/mobility products + Experience in Pharmacy Benefit Management (PBM) or related industry + Technical background ... drives every decision we make. **Job Posting Title** Solution Product Owner Sr/ Data Exchange exp required- REMOTE **Job Description** The Senior Solution Product… more
- CenterWell (Pierre, SD)
- …care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Key...Benefit Analysis during initiative ideation and validate all benefits post initiative deployment + Analyzes and measures the… more
- Prime Therapeutics (Pierre, SD)
- …to include 2 years of sales and/or account management experience in healthcare or pharmacy benefit management industry + Must be eligible to work in the ... of the healthcare industry with subject matter expertise in one or more areas ( pharmacy trend, health plan benefits , etc.) + Ability to develop, evaluate and… more