- HUB International (Scottsdale, AZ)
- …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
- WTW (Seattle, WA)
- … 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
- Elevance Health (Washington, DC)
- **Health Policy Director, Pharmacy Benefit Management** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live ... manages a portfolio of public policy issues focused on PBM and pharmacy . As part of this...degree in public policy, public health, economics, statistics, law, PharmD , or a related field preferred. + Experience working… 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
- 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
- Prime Therapeutics (Eagan, MN)
- …the United States without need for work visa or residency sponsorship + OR- + PharmD or Bachelor of Science Pharmacy degree + Current pharmacist license in good ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions...required + 8 years of related work experience Trade/Rebates, PBM healthcare or insurance + Must be eligible to… 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. ... documentation, and control. **Education Training and Experience** BSc or PharmD . Outpatient pharmacy experience required. **Licensure/Certification** Pa license… 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
- The Cigna Group (Bloomfield, CT)
- …Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. ... teams and leadership + Understands business impacts to the PBM as well as clients and member experience when...performing team **Qualifications:** + Bachelor's degree required; MBA or PharmD preferred + 10-14 years relevant experience + A… more
- Conduent (Elkridge, MD)
- …MD?** **About the team** We offer solutions for Medicaid payments, healthcare, pharmacy benefits management and claims processing. **About the role** Take ... Sign on Bonus!!** **Does your Account Management experience include PBM Fee For Service (FFS) services?** **Are you presently... claims processing point of sale (POS)systems experience + PharmD or Bachelor's in Pharmacy is required… more