- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day ... office 2x per month. Your Day to Day: Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, development, and implementation of new… more
- A-Line Staffing Solutions (Houston, TX)
- Job Description Now Hiring: Remote Prior Authorization Pharmacist We're seeking experienced Prior Authorization Pharmacists (not retail) for a fully remote ... opportunity. If you have a background in Pharmacy Benefits Management ( PBM ) and meet the requirements below, apply today! Position Details: Training Schedule: Monday… more
- Saban Community Clinic (Los Angeles, CA)
- …and 8405 Beverly Blvd Duties and Responsibilities: Working with Pharmacist : Translating, follow-up calls, verifying/changing appointments EPIC, Insulin (vial/pen) & ... by auditors. Contracting & Following up on status of contracts with insurances PBM (Pharmacy Benefit Manager): LA Care, Health Net, Molina, Anthem, Care 1st, Optum,… more
- Witham (Lebanon, IN)
- …Pointe Pharmacy. Manager is also responsible for the Witham Pharmacy Benefits Management ( PBM ) relations and will work directly with HR to facilitate benefits cost ... with Indiana State Board of Pharmacy and all DEA requirements, PBM relations (involves contracting clarity, formulary management, rebate collection, and monthly… more
- Walgreens (Canton, MI)
- …packing, and manifesting based on business needs. Job Responsibilities: Provides pharmacist call back and/or patient quality assurance support. Responsible for ... GED. At least 1 year of work experience in healthcare, specialty pharmacy, PBM and/or call center settings. Experience providing customer service to internal and… more
- LanceSoft (Detroit, MI)
- …job. Qualifications: Two years pharmacy experience working under a license pharmacist or completion of certified pharmacy technical program. Working knowledge of ... a high demand environment. Minimum 2 years of experience in Pharmacy Retail, PBM , Hospital, Managed Care Experience with MS Programs (Outlook, Excel, Word, Access)… more
- US Tech Solutions (May, OK)
- …as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of ... candidates with that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have… more
- CVS Health (Austin, TX)
- …the United States. **Required Qualifications** * 2 years' experience working as a pharmacist in a PBM setting. Current experience working within Commercial Prior ... each and every day. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...Authorizations in Caremark PBM ** * Experience using clinical resources, eg, Micromedex, Lexicomp,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management, and other pharmacy programs and lead ... Consulting to drive business outcomes. The **Director, Pharmacy Operations & PBM Management** will provide direction and oversight in Premera's Pharmacy strategy,… more
- State of Arkansas (Little Rock, AR)
- …Number: 22181851 County: Pulaski Anticipated Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager. The ... PHARMACIST Date: Jul 24, 2025 Req ID: 51416...PBM Division Manager organizes and monitors all PBM -related complaints, licensing, and renewal activities. The Manager also… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage ... be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be required to meet with prescribers on a one-on-one basis… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day ... Day to Day: + Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, development,...issues. What You Bring: + Minimum of professional Registered Pharmacist degree required. Graduate study in a business, public… more
- US Tech Solutions (May, OK)
- **Job Title:** ** Pharmacist Operations Advisor** **Location: Remote** **Duration: 6+ months contract** **Shift: 8 hours shift between 11am to 730pm EST** **Job ... Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...setting ie, specialty medical office or Pharmacy Benefits Manager ( PBM ) **Skills:** + MUST HAVE MANAGED CARE exp and… more
- Elevance Health (Mason, OH)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist Sr. **Location(s):** Iselin, NJ, Atlanta, GA, Indianapolis, IN, Mason, OH, ... unless an accommodation is granted as required by law.** The **Clinical Pharmacist Sr.** is responsible for developing and implementing pharmacy programs. We are… more
- Elevance Health (Miami, FL)
- …industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Pharmacist Clinical **Location(s):** Miami, FL Hybrid: This role requires associates ... a dynamic and adaptable workplace. The **Population Health Management Pharmacist ( Pharmacist Clinical** ) is responsible for...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- CVS Health (Buffalo Grove, IL)
- …has an exciting opportunity to join our growing team as a Clinical Development Pharmacist ! Are you looking for a clinically interesting role that has a big impact ... role you are looking for! As a Clinical Development Pharmacist , you will create and maintain clinical content for...Qualifications :** - Residency or BCPS. - Knowledge of PBM and benefit design preferred - 3+ years of… more
- BrightSpring Health Services (Glenview, IL)
- Our Company OnePoint Patient Care Overview We are looking for a Pharmacist to join our team of providing the highest quality of care, reliability, and support to our ... patients, caregivers, and families. In this role, the Pharmacist will be responsible for dispensing medications, providing clinical advice, as well as delivery… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception ... and resolution for issues from MAPS, Health and Medical Management, IT & Ops, PBM account support team and other customer service areas + Develop strategies for… more
- Elevance Health (Overland Park, KS)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist **Location(s):** Indianapolis, IN, Durham, NC, Overland Park, KS, Atlanta, ... an accommodation is granted as required by law.** The ** Pharmacist Clinical** is responsible for managing the selection and...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more
- The Cigna Group (Honolulu, HI)
- **POSITION SUMMARY** Staff Pharmacist , Sr. Manager, Pharmacist In-Charge (PIC) _We are seeking a passionate and results-driven working manager to lead and ... motivate a team, while also contributing directly to Pharmacist in Charge (PIC) responsibility and comprehensive pharmacy operations....in dispensing pharmacy, 2+ years in health care or PBM industry preferred; Minimum of 3 years of management… more
