- Walgreens (Deerfield, IL)
- **Job Description:** Job Summary Responsible for end-to-end management of assigned PBM clients, including traditional account management, setting and leading the ... and contracts. Job Responsibilities + Provide Account management function for assigned PBM clients, including: + Work with client to provide solutions for critical… more
- Northwell Health (Lake Success, NY)
- …designed to integrate organization Pharmacy operations with a focus on PBM . Directs operations to improve operational and financial performance including, but ... spend analysis, and quality improvement activities. Job Responsibility + Leads the PBM function by developing leaders and driving programs and initiatives that… 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 (Sacramento, CA)
- …employer coalitions, labor groups, and government groups + Deep understanding of PBM products, client management and operations with the ability to solve complex ... problems through people in other functional organizations. + Strong financial acumen with the ability to set strategic direction to achieve budget goals and financial targets. + Strong presentation skills and client relationship management. + Strong people… more
- Insight Global (Eagan, MN)
- …Insight Global is seeking a Principal level Treasury Claims Analyst. The Treasury Claims Principal is responsible for managing the claim payment process, working with ... numerous internal business partners and senior leadership to establish companywide system processes and controls to ensure the appropriate application of regulatory guidance and contractual terms, while optimizing cashflow impacts. This position leads and… more
- RxBenefits (Louisville, KY)
- …and support the current account claim and data requests + Respond to competing PBM offers to show RxBenefits pricing value and defend at-risk accounts + Prepare ... renewal reporting (Pricing refresh & comparison) + Support the PBM Pricing Analysts with validating new pricing products in...received + Act as point of contact for the PBM partners to resolve pricing discrepancies + Model pricing… more
- HCA Healthcare (Nashville, TN)
- …as the principle liaison with small to medium HealthTrust and CoreTrust PBM member companies. The AM establishes and maintains professional business relationships ... with member companies, their consulting teams, and the PBM supplier partner. The AD serves as a trusted...member(s) s/he supports, engaging member executives regularly ensuring the PBM supplier partner is delivering on all services in… more
- CVS Health (Hartford, CT)
- …leading a team of Underwriters and Analysts. This role will manage vast, complex PBM pricing strategies and financial analysis designed to meet the business needs of ... you will possess and maintain expert knowledge of the PBM and Health Plan Insurance industry economics. The successful...This will require developing an understanding of levers of PBM and enterprise profitability as well as utilizing the… more
- Prime Therapeutics (Baton Rouge, LA)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... analysis to include 5 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field** **3 years of experience using… more
- HCA Healthcare (Nashville, TN)
- …and Qualifications** + **Position is responsible for the continued growth of HealthTrust's PBM Program at the center, focused on execution of go to market execution ... annual sales growth goals for HealthTrust pharmacy division + Serve HealthTrust PBM Program expert to external constituents in the corporate segment (consultants, HR… more
- Shaw Industries Inc (Dalton, GA)
- …+ Lead the end-to-end redesign of Shaw's pharmacy benefit management ( PBM ) and medical plan strategy, ensuring alignment with organizational objectives, financial ... efficiency and reduce spend. + Serve as the company's subject-matter expert in PBM contracting, plan design, and clinical policy; advise leadership on market trends,… more
- Prime Therapeutics (Columbia, SC)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... periodic reports related to licensed functions (Pharmacy Benefit Management ( PBM ), Third Party Administrator, Utilization Review Organization, Business, State… more
- CVS Health (Topeka, KS)
- …support necessary actions to align tools to meet execution needs. Prior PBM Underwriting, Proposals and/or health care contracting experience is preferred but not ... accurately and completely capture pricing and financial commitments as part of new PBM client contracts and amendments. + Manage BOB related market events and… more
- AbbVie (Washington, DC)
- …all federal legislative and regulatory developments related to commercial insurance and PBM reform. The Director will work with internal stakeholders to determine ... Public Affairs, Market Access and Legal work focused on commercial insurance and PBM reform. The Director will set the federal policy priorities and strategically… more
- RxBenefits (Des Moines, IA)
- …Include:_ + Serves as the primary advisor on RxBenefits and/or PBM services and products, providing recommendations as appropriate. + Primarily responsible ... increasing likelihood of contract renewal. + Fosters collaborative relationship with RxBenefits PBM Relations team to ensure client's unique needs are met. +… more
- Prime Therapeutics (Salem, OR)
- …across the enterprise to support growth objectives + Oversee the expansion of PBM services to multiple states and measure the success of the Government Programs ... study + 15 years of relevant work experience in PBM , pharmacy, health plan and/or managed care with a...and/or Medicaid in a health plan, healthcare consulting firm, PBM , or other government environment + 9 years of… more
- CVS Health (Albany, NY)
- …(AE) for CVS Health, you will serve as the senior level liaison for PBM clients. This is an excellent opportunity to interface with Leadership both internally and ... key factor in your success. Your understanding of the PBM and managed care environment as well as keeping...position CVS Health for long-term growth in the competitive PBM marketplace. The ideal candidate will reside in Texas… more
- CVS Health (Woonsocket, RI)
- …**Position Description** CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer. ... You will develop a deep understanding of PBM Finance data and business processes as you transform...organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong… more
- CVS Health (Phoenix, AZ)
- …be responsible for analyzing, managing and implementing pricing solutions for of Caremark PBM accounts. To accomplish this, you will work to optimize prices, develop ... Developing a core understanding of drug pricing, network pharmacy performance, and PBM operations + Developing and maintaining analytic work plans + Applying… more
- AON (Chicago, IL)
- …+ Lead for the sale and support of a product/services: Audits, PBM Selection Activities, Coalition Opportunities, Market Checks, Implementation Services, etc. + ... as support general consulting services + Client-facing and direct interaction with PBM leadership teams + Clinical guidance and cost containment strategies + Lead… more