- Merck & Co. (North Wales, PA)
- …strategies and promotional initiatives for US payer customer segments (health plan, PBM , Medicaid, Medicare, federal, pharmacy and hospital) to achieve market access ... goalsLead coordination and engagement efforts with members of the Integrated Account Management organization, including point team and customer-facing account executives and account directorsPartner with the assigned promotions manager(s) to develop resources… more
- Segal (Washington, DC)
- …work of others. Key Responsibilities:| Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness.| ... financial tools.| Perform as the senior level financial analysis on PBM -related client projects and service delivery initiatives (eg, proposals, audits,… more
- Cambia Health Solutions, Inc (Lake Oswego, OR)
- …of data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager ( PBM ). - all in service of creating an economically sustainable health care ... assumptions and data/modeling capabilities across the Health Plan and Pharmacy Benefit Manager ( PBM )? Then this role may be the perfect fit. What You Bring to… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …is not physically in the same space . Six months of PBM /pharmaceutical-related work strongly desired . Required Qualifications: . Working independently but be ... . Ability to type more than 30 WPM. Skills: . Prior Authorization . Medicare and Medicaid . Call handling experience. . PBM Education: . High School diploma or GED more
- US Tech Solutions, Inc. (Atlanta, GA)
- …service or call center environment managing 75 calls/day. . Six months of PBM /pharmaceutical related work strongly desired . At least two years of general business ... experience that includes problem resolution, business writing, quality improvement and customer service Skills: . Prior Authorization . Medicare and Medicaid . Call handling experience. Education: . High School diploma or GED more
- US Tech Solutions, Inc. (Atlanta, GA)
- …service or call centre environment managing 75 calls/day. . Six months of PBM /pharmaceutical related work strongly desired . At least two years of general business ... experience that includes problem resolution, business writing, quality improvement and customer service Skills: . Prior Authorization . Medicare and Medicaid . Call handling experience. Education: . High School diploma or GED more
- The Cigna Group (St. Louis, MO)
- **B2B Growth Marketing Senior Advisor - Pharmacy Benefits Management ( PBM ) - Hybrid** **JOB DESCRIPTION** The job profile for this position is Segment Marketing ... and campaigns for Express Scripts, the Pharmacy Benefit's Management ( PBM ) line of business. The ideal candidate will work...of business. The ideal candidate will work closely with PBM sales teams and leadership to develop key strategic… more
- Fairview Health Services (Minneapolis, MN)
- …and implementation of pharmacy network design and management, pharmacy and PBM vendor contracting and relations; pharmacy information systems, quality measurement ... cross-functionality across business units to develop and manage pharmacy and PBM vendor contracting and management efforts to achieve quality, positive value-based… more
- The Cigna Group (Bloomington, MN)
- **OVERVIEW:** Reporting directly to the Vice President of PBM + Technology, we are looking for a passionate, innovative, mission-based leader to head an adjudication ... business partners. **RESPONSIBILITIES:** + Leverage a deep understanding of the PBM landscape, our enterprise strategy, and emerging technologies to partner closely… more
- CVS Health (Northbrook, IL)
- …Position Summary CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic capability, rather than the more ... and enhanced client satisfaction. We are looking for a PBM Client Reporting Product Manager to help define the...go-to-market strategies and product positioning + Align accomplishments to PBM Client Reporting OKR's and provide regular updates on… more
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The PBM Contract Manager will be responsible for the oversight and management of ... licenses, agreements and contracts for PBD. + Research state and federal PBM regulations and business requirements and monitor and track for any changes… more
- CVS Health (Scottsdale, AZ)
- …health care more personal, convenient and affordable. Position Summary + The PBM Client Billing Financial Analyst role requires an ambitious, motivated, and eager ... This will include monitoring their own client tasks and supporting the larger PBM Billing Cycle through project work, cycle issue resolution, and other larger… 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
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …+ Preferred: Master's Degree + At least ten years of sales experience in the PBM or related industry **Special Conditions of Employment:** + Drug test + Initial and ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12710/vice-president-of-sales pbm /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East Syracuse, NY_ **Posted… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** VP Sales PBM Mid-Market Sales - Northeast **Job Description Summary** Responsible for attaining sustainable ... sales growth through current and new customers for the Pharmacy Employer market in the assigned region. Oversees requests for proposal (RFP) solicitation and response. Develops sales plans, campaigns and strategies designed to achieve sales growth targets. May… more
- CVS Health (Chicago, IL)
- …team and will focus on building & deploying analytic models that help the PBM business meet its client and pharmacy financial guarantees. This team works on ML, ... forecasting, and optimization models (linear and mixed integer programming techniques) to optimize drug-level pricing tied to 95 million Americans. The models are designed to meet financial guarantees contracted by Caremark with its clients and pharmacy… more
- Actalent (Fort Worth, TX)
- …: 3-5+ years post-graduate experience in pharmacy, clinical oversight, and patient care PharmD preferred TSBP licensed current and and in good standing Description: ... Conducts a comprehensive clinical review of pharmacotherapy for each patient including drug utilization, counseling, compliance, drug interaction screening, side effect profiling and drug administration support to ensure the patient's treatment plan is in line… more
- CVS Health (Scottsdale, AZ)
- …of (or are planning to make use of) various products supported by PBM Operations. These products are distinct from CVS Caremark products that provide Prescription ... are being met and that the service provided by PBM Operations meets all expectations. You'll make an impact...will lead a team responsible for ensuring that all PBM Products (ie those products that support the … more
- Martin's Point Health Care (Portland, ME)
- …accuracy and completeness. + Reviews oversight reporting provided by Pharmacy Benefit Manager ( PBM ) to ensure timely compliance with all CMS Part D related rules and ... key processes with CMS and its contracted vendors, the PBM and internal departments. + Documents and triages escalated...to Part D benefit related questions or grievances, involving PBM or other internal parties as needed. + Serves… more
- Actalent (Honolulu, HI)
- …detail-oriented and experienced Pharmacy Technician with a background in Pharmacy Benefit Management ( PBM ) to join our team. The ideal candidate has to reside in ... in optimizing drug utilization, improving patient outcomes, and ensuring compliance with PBM policies. This is a fully remote position. Key Responsibilities: +… more
