- Actalent (San Jose, CA)
- …health plan, utilization review, Utilization management, Pharmacy , Pharmd , pharmacy benefits management, pbm Top Skills Details: Prior ... & Qualifications: Active CA Pharm Tech license 2+ years of experience PBM experience preferred but not required Experience Level: Intermediate Level About Actalent… more
- HUB International (Albuquerque, NM)
- …preferred + 3+ years of financial, clinical or strategic advising in the pharmacy benefit manager ( PBM ) marketplace with established relationships with ... and Client Management teams. This role acts as the pharmacy benefits subject matter expert; providing deep...service(s) to improve client results **Basic Qualifications:** + BS Pharmacy or PharmD is valued but not… more
- Elevance Health (Indianapolis, IN)
- …or ask you for payment as part of consideration for employment. **Health Policy Director, Pharmacy Benefits Management** + Job Family: PCG > Policy + Type: Full ... IN, INDIANAPOLIS + IL, CHICAGO **Description** **Health Policy Director, Pharmacy Benefit Management** **Location:** This position will...manages a portfolio of public policy issues focused on PBM and pharmacy . As part of this… more
- WTW (Denver, CO)
- … Pharmacy benefit plan analysis, design, and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of ... performance (financial and operational) + Strategy for effectively managing pharmacy benefits aligned with broader health care...experience and success in the design/management of large group pharmacy benefit plans gained in consulting or… more
- CareFirst (Baltimore, MD)
- …of contact within the organization providing clinical expertise relative to pharmacy benefit programs, participates in designing, developing, and implementing ... + Serves as a point of contact for CareFirsts PBM vendor and other strategic pharmacy vendor...in the healthcare industry with a focus on a pharmacy benefit administration. + 3 years management… more
- Humana (Frankfort, KY)
- …field + Experience with Microsoft Access & Microsoft Project + Experience with pharmacy benefits and health benefits **Work-At-Home Requirements** + Must ... internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs...Bachelors of Pharmacy or a Doctor of Pharmacy ( PharmD ) + Must have an active… more
- BlueCross BlueShield of North Carolina (NC)
- …with 10 years of healthcare management experience. + Expertise in health payer or pharmacy benefits management. + 5 or more years of government business ... **Job Description** Blue Cross NC Corporate Pharmacy Department is seeking an Associate Vice President...will improve affordability, improve quality and strive for optimal PBM service, a favorable partner score card in the… more
- Corewell Health (Grand Rapids, MI)
- …care residency preferred + PharmD preferred + Managed care/Health Plan/ PBM experience preferred + Oncology, Specialty Pharmacy , Infusion, high-cost ... pharmacists, internal and external clients, contributing to the design of pharmacy benefits , managing quality and cost effectiveness, and involvement… more
- St. Luke's Health System (Boise, ID)
- …Specialty, and non-clinical roles (Tech apprentice, 340B, Med Access & PA Teams, PBM ). ** Benefits ** + Medical/Dental/Vision - Start the 1st of the month ... and post-acute care, (Ambulatory, Community, Oncology, Non-oncology infusion, Specialty) ** Pharmacy staff.** Unit/Position Summary The Clinical Educator provides education… more
- Omnicell, Inc. (Grapevine, TX)
- …with clients to gain access to Specialty Pharmacy Networks; oversight of the Pharmacy Licensing team; and pharmacy PBM audit support teams. This position ... and recredentialing support for all managed pharmacies. + Educates pharmacy teams on the PBM requirements regarding...in Pharmacy from an accredited college of pharmacy required, PharmD degree preferred. Minimum of… more
- Access Dubuque (Dubuque, IA)
- …2331895 Posted On 03/22/2024 **Job Overview** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members ... Skills Required for the Job:** + Bachelor's degree in Pharmacy or PharmD with current RPh licensure...**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving… more
- The Cigna Group (St. Louis, MO)
- …Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. ... the customer and partnering with cross-functional senior leadership across the PBM and Evernorth to ensure successful core service delivery/implementation of… more
- Prime Therapeutics (Columbus, OH)
- …+ 8+ years of pharmacy experience. + 5+ years of experience in Pharmacy Benefits Management ( PBM ), Health plan or Medicaid clinical customer service. ... Care Advisory Committee, etc.). + Acquire, analyze, and maintain information regarding pharmacy benefit management "best practices". + Responsible for reviewing… more
- CVS Health (Honolulu, HI)
- …consulting services through analyzing drug utilization patterns and trends for our Pharmacy Benefit Management ( PBM ) clients. -Working collaboratively with ... owner, to clients on the clinical aspects of their benefit plan. -Academic Detailer - Clinical Advisor may be...for client management. - AMCP Fundamentals of Managed Care Pharmacy Certificate or similar professional advancement Education PharmD… more
- CVS Health (Austin, TX)
- …influence internal stakeholders and client contacts Preferred Qualifications + Experience supporting Pharmacy Benefit Management ( PBM ) clients or within a ... 3+ years prior relevant work experience as a pharmacist in managed care ( Pharmacy Benefit Management) environment + Demonstrated understanding of CVSH clinical… more
- Prime Therapeutics (Columbus, OH)
- …and receive opportunities to learn new things. **Responsibilities** + 5+ years' experience in pharmacy , managed care or PBM + 2+ years' experience in a ... claims payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account's...RPH - Registered Pharmacist - Pharmacy - Pharmacy Certifications - Preferred: PharmD - Doctor… more
- The Cigna Group (St. Louis, MO)
- …generation pharmacy benefit solutions and future enhancements across the pharmacy and medical benefits . + Develop and deliver the solution roadmap that ... can deliver value into the market both within the Pharmacy benefit and the medical benefit...customers. + Influence the overall strategic direction of the Pharmacy Benefits business at Express Scripts/Evernorth, including… more
- CVS Health (Buffalo Grove, IL)
- …influencing or motivating others + Think strategically Education Bachelor's degree Pharmacy - requiredDoctorate PharmD - preferredRegistered Pharmacist - ... healthcare marketplace dynamics. This role requires a strong knowledge of PBM /managed care and Medicare formulary management including development and implementation… more
- Penn Medicine (West Chester, PA)
- …performs pharmacy computer updates, and works jointly with the UPHS pharmacy benefit program staff regarding changes to the outpatient drug formulary. ... use, documentation, and control. Education Training and Experience BSc or PharmD . Outpatient pharmacy experience required. Licensure/Certification Pa license We… more
- Prime Therapeutics (Columbus, OH)
- …and strategy team. + Other duties as assigned. Minimum Qualifications: + Doctor of Pharmacy ( PharmD ) or Bachelor of Science Pharmacy degree + Current ... plan clients. + Manage and support the oncology Medical Pharmacy development needs for current and potential new clients....+ Experience working in managed care, health plans or PBM + Must be eligible to work in the… more