- Cognizant (Texas City, TX)
- ** PBM ( Pharmacy Benefits Management )** **with Healthcare Claims Testing Experience** **_This is a remote position open to any qualified applicant in the ... are seeking a highly skilled and motivated **Test Analyst PBM ( Pharmacy Benefits Managements) with...Knowledge of AS400 Screen/RXClaim . Functional Experience in both Pharmacy Benefit Management system, Benefits … 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
- Actalent (Albuquerque, NM)
- …. + Proficiency in Microsoft Office Suite. Additional Skills & Qualifications + Previous PBM ( Pharmacy Benefits Management ) experience preferred. + ... of related experience and/or training. + Knowledge of Medicaid, MTM, Medicare, retail pharmacy , insurance verification, and pharmacy benefits management… 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
- 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 (Hollywood, FL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... which can include assisting in any area of the pharmacy as directed by management Qualifications +...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 (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
- St. Luke's Health System (Boise, ID)
- … Benefits Specialist assists our members in identifying and navigating complex pharmacy benefits management ( PBM ) and third-party issues such ... concerns. + Will assist in the training and onboarding of all new pharmacy benefits team members. + Review the supporting clinical documentation provided by a… more
- BrightSpring Health Services (Tempe, AZ)
- …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
- Premera Blue Cross (Mountlake Terrace, WA)
- …of Pharmacy & Clinical Consulting to drive business outcomes. The **Director, Pharmacy Operations & PBM Management ** will provide direction and oversight ... leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management , and other...management , formulary etc. Stays abreast of managed care pharmacy , pharmacy benefits manager, and… more
- Publix (Lakeland, FL)
- …ensure that all money is accounted for and being collected from the insurance carriers, pharmacy benefits management ( PBM ) companies to reduce days sales ... **33247BR** **Position Title:** Sr. Collections Specialist - Pharmacy - Lakeland **Department:** Finance **Location:** Lakeland, FL **Description:** The Senior… more
- CVS Health (Chicago, IL)
- …to join our PBM Finance Enablement team as a Manager, Compliance Pharmacy Payments within the PBM Reporting team. CVS Health strives to continuously ... platforms + Experience in healthcare industry, including health insurance, PBM or pharmacy services + Experience with...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 ... for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is… more
- The Cigna Group (Trenton, NJ)
- …(RFP) analysis and management to ensure best practices + Represents Cigna Pharmacy Management at finalist meetings and in the market + Remains current ... **Position Summary** Provides expert pharmacy content/professional leadership on complex Sales assignments/projects. Primary...on PBM industry trends and competitive knowledge + Maintains positive… more
- CVS Health (Atlanta, GA)
- …and deploying analytical models that help the PBM (Pharma Benefits Management ) business meet its client and pharmacy guarantees. This team works on ... confidently with business partners, project team members, and senior management + 3+ years of experience with Gurobi Optimization...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CareFirst (Baltimore, MD)
- …Chain and Contracts & Vendor Management : o Lead the operating model for pharmacy rebates and network discounts and PBM contract management . Collaborate ... chain, pharmacy business operations, PBM operations, PBM contracting, pharmacy services, or supply chain management and 3 years management … more
- BrightSpring Health Services (Lowell, MA)
- …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