- Elevance Health (Mendota Heights, MN)
- …new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The Staff VP of PBM Pricing and Underwriting will be ... **Staff VP PBM Pricing and Underwriting** **Location:** Located within commuting...direct reports. **Position Responsibilities** + Leads a team of pharmacy underwriters who are responsible for quickly preparing a… more
- Elevance Health (Columbus, OH)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The **Process ... **Process Expert I - PBM ** L _ocation: This position will work a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- WTW (Nashville, TN)
- … benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits ... Watson is looking for an energetic individual with growth, pharmacy , clinical and client facing expertise to...benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a… more
- Medical Mutual of Ohio (OH)
- …other quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and ... a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for...processes and maintaining procedural tracking documents. . Coordinates with Clinical Pharmacists and PBM for Part D… more
- HCA Healthcare (Nashville, TN)
- …you to be a part of our team. **Job Summary and Qualifications** The Senior Pharmacy Benefit Account Manager (AM) serves as the principle liaison with small to ... medium HealthTrust and CoreTrust PBM member companies. The AM establishes and maintains professional...3+ years of strategic account management experience with a pharmacy benefit manager and/or a large employee… more
- Nuvance Health (Poughkeepsie, NY)
- …Summary: Assists Director Professional Services with operational aspects of the Ambulatory Care Pharmacy Services. Is the manager of record for the Reade Place ... and marketing activities. Is responsible for day-to-day operations of the Pharmacy Benefit Manager Program. Participates in performance improvement activities… more
- Novant Health (Winston Salem, NC)
- …The Pharmacy Benefits Specialist at Novant Health works closely with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and the People and ... Pharmacy Benefits Specialist assumes responsibility for: + Collaborating with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and People and… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Manager Mail Order and Retail Pharmacy is responsible for the organization, ... and provider needs. + Works collaboratively with the Director, Pharmacy and Manager , Pharmacy Operations...Operations in the medical management of and provision of clinical services associated with Martin's Point's Pharmacy … more
- Mount Sinai Health System (New York, NY)
- …supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty ... years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of… more
- The Cigna Group (Morris Plains, NJ)
- …The position works closely with matrix partners across the medical organization, PBM partners, Contracting, Pharmacy pricing/finance, Clinical Operations, ... and/or HealthPlan environment required + Minimum of 4 years Clinical Pharmacy experience required, preferably in a... Pharmacy experience required, preferably in a Pharmacy Benefit Management ( PBM ) and/or Health Plan… more
- Access Dubuque (Dubuque, IA)
- …and efficient delivery of medications to patients. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ) dedicated to helping clients and ... | PRN | ON THE JOB TRAINI MercyOne Oncology Clinical Pharmacist - FT MercyOne Inpatient Pharmacy ...**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving… more
- WTW (Phoenix, AZ)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... define a multi-year strategy for expanding the comprehensiveness of our integrated pharmacy and clinical offerings + Own product research, development,… more
- WTW (New York, NY)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... define a multi-year strategy for expanding the comprehensiveness of our integrated pharmacy and clinical offerings + Own product research, development,… more
- WTW (New York, NY)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... define a multi-year strategy for expanding the comprehensiveness of our integrated pharmacy and clinical offerings + Own product research, development,… more
- Huron Consulting Group (Chicago, IL)
- …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. (CPht) Certified Pharmacy Technician preferred. 2. Call center, Pharmacy data entry, and PBM billing experience. 3. Bilingual verbal and ... facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We...in an accurate and timely manner. 2. Resolves all PBM related billing problems and issues. 3. Handle phone… more
- LA Care Health Plan (Los Angeles, CA)
- … Pharmacy Benefit Manager vendor. Assist with analyses on pharmacy utilization patterns, clinical program impact modeling (STARS/HEDIS), therapeutic drug ... Pharmacy Information Analyst I Job Category: Clinical...project and/or data analysis experience in Managed Care Organization, PBM or health plan Skills Required: Proficiency with querying… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …is implemented properly. + Work as a Liaison between the Pharmacy department and the Pharmacy Benefit Manager ( PBM ) + Work as a Liaison between the ... authorized based on benefit plan design, client specifics and clinical criteria. The CPT will need to work simultaneously...in a timely manner. The CPT reports to the Pharmacy Director and Part D Manager . Key… more
- LA Care Health Plan (Los Angeles, CA)
- …during Pharmacy Quality of Care (PQOC) meetings and partner with contracted Pharmacy Benefit Manager ( PBM ) on formulary management requirements to ensure ... for assisting with the research, development, and maintenance of clinical pharmacy programs, including clinical ...and External meetings / workgroups and acts as the PBM point person for Clinical Programs. Assist… more
- The Cigna Group (St. Louis, MO)
- …perform independent modeling with little to no modeling oversight by Sr. Manager / Clinical Director + Identifies and recommends process improvement to streamline ... current active US Pharmacist License + 2-4 years of pharmacy / PBM / Managed Care/healthcare related experience +...and drug wholesalers. Express Scripts by Evernorth, a leading pharmacy benefit manager with the nation's largest… more