- A-Line Staffing Solutions (Columbus, OH)
- …with rotating weekend schedules 7AM - 330PM EST/CST Pharmacist Experience Requirements: Previous pharmacy experience in PBM ( pharmacy benefit management) or ... Remote Pharmacist ( PBM Experience) REMOTE Prior Authorization As an RPh...D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases… more
- 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… more
- A-Line Staffing Solutions (Atlanta, GA)
- …Authorization Pharmacy Technician requirements? At least 2 year experience as a pharmacy technician PBM - Pharmacy Benefit Manager working experience ... A-Line Staffing Solutions is looking to hire a FULLY RMOTE Prior Authorization Pharmacy Technician with a major healthcare company. Starting ASAP!! If this the… more
- A-Line Staffing Solutions (Everett, WA)
- …Technician, Pharm Tech, Pharmacy Tech, dispensing, fill prescriptions, mail order pharmacy , PBM , specialty pharmacy , refill prescriptions, Rx, ... A-Line Staffing is now hiring Pharmacy Technician in Everett WA 98204. The Pharmacy Technician would be working for a Fortune 500 company and has career growth… more
- A-Line Staffing Solutions (San Diego, CA)
- …Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM , Enrollment, Provider Services, Pharmacy , prior authorization, ... reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing more
- A-Line Staffing Solutions (Des Moines, IA)
- …Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM , Enrollment, Provider Services, Pharmacy , prior authorization, ... reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing more
- A-Line Staffing Solutions (Mcallen, TX)
- …Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM , Enrollment, Provider Services, Pharmacy , prior authorization, ... reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing more
- A-Line Staffing Solutions (Flint, MI)
- …Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM , Enrollment, Provider Services, Pharmacy , prior authorization, ... reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing more
- A-Line Staffing Solutions (Tallahassee, FL)
- …as per policy and procedure. Remote Prior Authorization Pharmacist Requirements Previous pharmacy experience in PBM or Prior Authorization. Appropriate state ... license required. Basic computer skills required. Strong organizational skill, interpersonal skills and detail orientation important for this position. High School Diploma or GED Attendance is mandatory for the first 90 days If you think this Remote Prior… more
- A-Line Staffing Solutions (Atlanta, GA)
- …Pharmacist is required. Must have experience reviewing and processing cases at a PBM . Prior authorization experience in a retail or hospital environment will not ... our remote team. The ideal candidate will have a strong background in pharmacy practice, excellent communication skills, and a passion for optimizing patient care… more
- A-Line Staffing Solutions (Atlanta, GA)
- …Must be licensed as a Pharmacist in the State you reside Minimum bachelor's degree in pharmacy or PharmD required At least 2 years of experience as an RPH Medicare D ... experience preferred Prior Authorization experience in managed care (health plan) or PBM required PLEASE CALL OR TEXT: Alliston Brown @ ### 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 ... cross-sell marketing programs and campaigns for Express Scripts, the Pharmacy Benefit's Management ( PBM ) line of business. The ideal candidate will work closely… more
- US Tech Solutions (May, OK)
- …based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management) required. + ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- Fairview Health Services (Minneapolis, MN)
- …safety; development and implementation of pharmacy network design and management, pharmacy and PBM vendor contracting and relations; pharmacy information ... + Lead cross-functionality across business units to develop and manage pharmacy and PBM vendor contracting and management efforts to achieve quality, positive… more
- BlueCross BlueShield of North Carolina (NC)
- …and manages the day-to-day operational and tactical aspects of all Medicare related PBM ( Pharmacy Benefit Manager) activities, new initiatives, and other ongoing ... business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of ... Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits… more
- Elevance Health (Altamonte Springs, FL)
- … Pharmacy ** is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers ( PBM ) for all pharmacy sites. **How you ... **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of… more
- CVS Health (Northbrook, IL)
- …convenient and affordable. Position Summary CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic capability, ... 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
- CVS Health (Scottsdale, AZ)
- …create new tools and reports while maintaining an in depth understanding of the PBM and enterprise pharmacy environment. The Analyst interfaces with and manages ... make health care more personal, convenient and affordable. Position Summary The Pharmacy Quality Control Analyst position is responsible for the timely and accurate… more
- UCLA Health (Los Angeles, CA)
- …Officer of Medicare Advantage, you'll spearhead the development and oversight of our pharmacy benefit management ( PBM ) business unit. In this pivotal role, ... of implementing innovative programs aligned with strategic objectives + Knowledgeable in PBM third-party billing, pharmacy claims processing, and pharmacy … more
