- Merck & Co. (North Wales, PA)
- …IS Audit, Managing Distribution Channels, Market Access Strategies, Market Management, Pharmacy Benefits Management ( PBM ), Product Knowledge, Regulatory ... contract responsibility across the US health care system - including pharmacy benefit managers (PBMs), health plans, state Medicaid agencies, pharmacies/wholesalers,… more
- Elevance Health (Los Angeles, CA)
- ** Pharmacy Benefits Manager ( PBM ) Pricing Strategies Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... in Finance or related field and a minimum of 1 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education… more
- Elevance Health (Norfolk, VA)
- …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
- 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** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified… more
- WTW (Dallas, TX)
- …innovative engagement design and approaches + Advising on the latest industry trends + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... be leveraged nationally. + Driving new relationships and sales + Materially grow pharmacy benefits revenue through serving as the pharmacy benefits … more
- WTW (Seattle, WA)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team. This strategic role is key to driving successful IT development initiatives within the Pharmacy Benefits Manager ( PBM ) claims space. As a Senior ... have proven experience in business systems analysis, preferably within healthcare or PBM environments; additionally, you will have a strong understanding of PBM… 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
- Humana (Indianapolis, IN)
- …BH services + Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager ( PBM ) activities, including the ... is based upon company and/or individual performance. **Description of Benefits ** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers… more
- Walmart (Bentonville, AR)
- …of contracting and pricing strategies for assigned key accounts, including PBM , Plans, and medical/immunization agreements. You'll develop the business case behind ... opportunities, while serving as a key driver of immunization pharmacy and medical contracting. **What you'll do ** +...do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals… more
- RxBenefits (Portland, OR)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... Manager , Pharmacy Pricing is a leader and key contributor to...with claim file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with… more
- HCA Healthcare (Nashville, TN)
- …including exclusions, tier changes, and utilization management updates + Working knowledge of employee pharmacy benefits , PBM industry, and PBM supplier ... an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you...incredible team members over the course of three years. ** Benefits ** HealthTrust offers a total rewards package that supports… more
- CVS Health (Phoenix, AZ)
- …every day. **Position Summary** CVS Health has a dynamic opportunity for a Contract Manager ( Pharmacy Benefit Management) to join our team. This role will ... ensure successful execution of client contracts after acceptance of PBM pricing offers, including overseeing all aspects of finalizing...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- BrightSpring Health Services (Tempe, AZ)
- …the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... in a growing company + Referral bonuses As a Pharmacy Operations Manager you will: + Collaborate...custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per… more
- Prime Therapeutics (Nashville, TN)
- …for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Manager of Clinical Pharmacy ... $138,000.00 based on experience and skills. To review our Benefits , Incentives and Additional Compensation, visit our Benefits...Prime Therapeutics (Prime), we are a different kind of PBM . We're reimagining pharmacy solutions to provide… more
- Amazon (Boston, MA)
- …our mission and position ourselves in becoming the world's safest and fastest online pharmacy . The Role: We seek a Senior Manager of Business Development leader ... building processes and coordinating release schedules - Experience in healthcare, preferably Pharmacy , PBM , or pharmacy -adjacent Preferred Qualifications -… more
- The Cigna Group (Denver, CO)
- …Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting Cigna Integrated Pharmacy ... Clinical Consulting Advisor** **Internal Job Title - Clinical Account Manager (CAM)** **Area of Operation - Colorado, Utah, Pacific...R.Ph. or Pharm.D. + 5 years or more of Pharmacy Benefit Management ( PBM ) experience supporting client… more
- Mount Sinai Health System (New York, NY)
- …health care related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional ... Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager ... pharmacy Non-Bargaining Unit, 203 - HSO PHARMACY BENEFITS MANAGEMENT - MSH, Mount Sinai… more
- HCA Healthcare (Nashville, TN)
- …+ Masters or Doctorate preferred + 7 years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development, sales ... operations and/or management roles. + Experience building relationships with HR buyers ( benefits manager , VPHR, etc.) and third-party consultants/brokers is key.… more
- CVS Health (Salt Lake City, UT)
- …pressure. **Required Qualifications** + 5+ years of experience in healthcare, health insurance, PBM , or retail pharmacy industry, with a focus on product ... each and every day. **Position Summary** As a Senior Manager of Product, you'll be at the forefront of...be at the forefront of innovation for Aetna Commercial Pharmacy Health Plans, partnering closely with the Director of… more
