• Director Pharmacy Benefit

    HCA Healthcare (Nashville, TN)
    …preferred + 7 years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development, sales operations and/or management ... join an organization that invests in you as a Director Business Development? At HealthTrust, a division...incredible team members over the course of three years. ** Benefits ** Work from Home, offers a total rewards package… more
    HCA Healthcare (05/22/25)
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  • Director Pharmacy Benefit

    HCA Healthcare (Nashville, TN)
    …and conditions of the master services agreement. + Drafting and reviewing pharmacy benefit management contractual language. + Ensure all contractual obligations ... plus. + Minimum 7+ years of experience with a pharmacy benefit manager and/or a large employee...Registered pharmacist a plus + Advanced knowledge of employee pharmacy benefits , PBM industry, and PBM supplier… more
    HCA Healthcare (05/08/25)
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  • Director , Specialty Pharmacy

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …Strategy and Patient Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations ... and execution of operational strategies for the launch of a new specialty pharmacy product, ensuring alignment with overall business objectives and product… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Director Pharmacy Implementation

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Director Pharmacy Implementation? At HealthTrust, you come first. HCA Healthcare has committed ... and you have the opportunity to make a difference. We are looking for a dedicated Director Pharmacy Implementation like you to be a part of our team. **Job… more
    HCA Healthcare (06/03/25)
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  • Director of Pharmacy

    Cardinal Health (Morristown, TN)
    …team on prescribed medications, supplies and related processes. **_Job Summary_** The Director of Pharmacy plans, organizes and directs all functions of ... and accrediting requirements are maintained at the best demonstrated practice. The Director of Pharmacy maintains a professional presence throughout the hospital… more
    Cardinal Health (04/15/25)
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  • Director Pharmacy Financial Strategy…

    Highmark Health (Nashville, TN)
    …to support inputs into financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager (PBM), pharmacy Group Purchasing Organization ... :** **JOB SUMMARY** As part of the enterprise strategy to integrate and scale pharmacy solutions that disrupt the pharmacy supply chain, this new position will… more
    Highmark Health (05/06/25)
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  • Senior Manager, Specialty Pharmacy

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …the Specialty Pharmacy operations for OAPI The position will report to Director , Specialty Pharmacy Operations We are seeking a detail-oriented and proactive ... data to maintain optimal inventory levels. + Responsible for creating and updating business rules with each specialty pharmacy + Contribute to development of… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Manager Clinical Pharmacy Member Support

    HCA Healthcare (Nashville, TN)
    …recommendations for pharmaceutical savings and clinical standardization. + Assist the Director of Non-Acute Member Support with quarterly business reviews. ... organization that invests in you as a Manager Clinical Pharmacy Member Support? At HealthTrust, you come first. HCA...incredible team members over the course of three years. ** Benefits ** HealthTrust, offers a total rewards package that supports… more
    HCA Healthcare (04/23/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Nashville, TN)
    …drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative oversight ... + Coordinates with external auditors for yearly SOC-1 audit. + Works directly with Director to fulfill OIG and CMS audit requests. + Attends meetings with auditors… more
    Prime Therapeutics (05/07/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Nashville, TN)
    AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP, Utilization Review & Pharmacy . This is a fully remote position, offering the ... home-based office. As the AVP of Utilization Review & Pharmacy , you will lead and direct a team of...issues. This position has clear and distinct accountability for business results and works with Managed Care and Claims… more
    Zurich NA (05/22/25)
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  • Product Director - State Public Sector…

    Prime Therapeutics (Nashville, TN)
    …Qualifications** + Master's degree or other advanced degree + 3 years of Pharmacy Benefit Management (PBM) experience **Physical Demands** + Constantly required ... our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description**… more
    Prime Therapeutics (04/22/25)
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  • Director , Payor Agnostic Account…

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... for growing membership within existing accounts and for directly managing business relationships with client accounts. The Director , Account Management… more
    CenterWell (06/06/25)
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  • Director , Drug Trend and Pipeline…

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...potential trend benders **Responsibilities** + Lead our medical and pharmacy drug trend and pipeline forecasting process including month… more
    CenterWell (06/05/25)
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  • Director , Patient Experience…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... The Director of Market Access Patient Experience and Reimbursement...optimizing patient experience and reimbursement processes, particularly in specialty pharmacy and hub services analytics. This role requires a… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Senior Director Clinical Account Management…

    Prime Therapeutics (Nashville, TN)
    …GED is required. + 8 years of relevant client services experience in healthcare or pharmacy benefit management, preferably in Medicaid. + 5 years of leadership / ... drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The...with subject matter expertise in one or more areas ( pharmacy trend, Medicaid plan benefits , etc.). +… more
    Prime Therapeutics (04/09/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/14/25)
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  • Oncology Regional Medical Scientific…

    Merck (Nashville, TN)
    …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... Drivers (Oncology, Vaccines, Select Specialty Areas, Animal Health) While Optimizing Our Base Business ) + Adapt | Develop Our People, Culture and Business Model… more
    Merck (06/03/25)
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  • Branch Director Temporary Assignment

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... of our caring community and help us put health first** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following:… more
    CenterWell (06/06/25)
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  • Sr. Director Actuarial Forecasting - REMOTE

    Prime Therapeutics (Nashville, TN)
    …and implementing efficient, innovative business solutions to clients' complex pharmacy benefit challenges + Strong understanding of pharmacy ... drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior...and potential owners and clients across all lines of business through the creation and use of innovative actuarial… more
    Prime Therapeutics (04/12/25)
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  • Trade Client Relations Director - Remote

    Prime Therapeutics (Nashville, TN)
    …and drives every decision we make. **Job Posting Title** Trade Client Relations Director - Remote **Job Description** The Trade Client Relations Director is ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions...healthcare or insurance + -OR- + Master's degree in Business , Finance or related area of study, or equivalent… more
    Prime Therapeutics (04/17/25)
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