- HUB International (New York, NY)
- …preferred + 3+ years of financial, clinical or strategic advising in the pharmacy benefit manager ( PBM ) marketplace with established relationships with ... benefits subject matter expert; providing deep knowledge of the pharmacy space and a level of clinical ...PBM 's and other appropriate pharmacy vendors + Comprehensive knowledge of both current and… more
- Prime Therapeutics (Columbus, OH)
- …in the Health Outcomes, Pharmacy Audit, Pricing, Planning & Analysis, Clinical Operations, Operations Planning & Delivery, or PBM Operations departments ... PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data + Experience in...Structure** + Reports to Principal, Manager , Director, or Sr Director… more
- Mount Sinai Health System (New York, NY)
- …Excellence (CCE) in the NY/NJ region. MSHS, World Trade Center Health Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , ... under the direction of the WTCH medical leadership. The Clinical Pharmacy Manager will have...programs . Work collaboratively with clinic staff and the PBM to obtain authorizations and support with clinical… 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
- CenterWell (Columbus, OH)
- …of our caring community and help us put health first** The Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while ... mitigate cost trend and improve health outcomes. The Director, Clinical Pharmacy requires an in-depth understanding of...largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more
- Medical Mutual of Ohio (OH)
- …a liaison between Sales, Pharmacy Operations, Benefit Services, Communications, and the Pharmacy Benefit Manager ( PBM ) to bridge the gap between ... Company, group expectations, and according to contractual terms with group and PBM . . Coordinates pharmacy implementation activities with various internal… 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
- Sharp HealthCare (San Diego, CA)
- …QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication ... of service to our physicians and patients. Supports front end and clinical procedures within the pharmacy department including initial intakes, follow-ups,… more
- Apex Health Solutions (Houston, TX)
- …process of the client's pharmacy programs and its delegated vendors such as the Pharmacy Benefit Manager ( PBM ) in accordance with all federal and state ... cost and determine trending data for departmental KPIs. Execute Pharmacy department's clinical and financial programs with... pharmacy tech in a retail or community pharmacy setting, health plan, HMO, PBM and/or… 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
- UPMC (Pittsburgh, PA)
- …Officer in regards to the development, implementation and ongoing evaluation of pharmacy clinical resource management, quality management and quality improvement ... implementation of a strategic business plan, pharmacy operations, pharmacy marketing, formulary management, clinical initiatives, budgeting and forecasting,… more
- WTW (Irvine, CA)
- …+ Pharmacy benefit plan analysis, design 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 plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the World Trade Center Health Program (WTCHP) Clinical Pharmacy Manager , this World Trade Center Pharmacy ... Outlook preferred Ability to learn additional health system and PBM portals and tools Education: ? HS/GED; Associate?s or...Duties and Responsibilities: 1. Works closely with the WTCHP Clinical Pharmacy Manager , the WTCHP… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Part D Clinical Pharmacist Manager is a dynamic and experienced Pharmacist knowledgeable in ... improvement indicators. + Fosters the growth and facilitation of Pharmacy work teams to meet quality and clinical...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of… more
- Elevance Health (Tampa, FL)
- …pharmacy care. The **Pharmacist Clinic** **al** is responsible for providing clinical pharmacy support to Medicare, Commercial, and Medicaid providers. Duties ... the external network providers as requested/needed in support of Clinical pharmacy measures. **Minimum Requirements:** + Requires.... + Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu… more
- Access Dubuque (Dubuque, IA)
- … Benefit Solutions **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members ... Preferred Experience & Skills** + 3 years in a Pharmacy Benefits Management ( PBM ) environment. + 3...Featured Job TH Ad TH Comments **Similar Jobs** Account Manager Tucker Freight Lines Clinical Manager… more
- ChenMed (Columbus, OH)
- …and monitoring of performance improvement indicators. + Fosters growth and effectiveness of Pharmacy work teams to meet quality and clinical care standards/ + ... we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled...a skilled and proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care, this… more
- Prime Therapeutics (Newark, NJ)
- …with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other duties as assigned **Minimum Qualifications** ... point of contact for their designated BCBS clients, the clinical program manager promotes and recommends Prime...pharmacist license in good standing with the Board of Pharmacy + PBM Experience + 1 year… more
- The Cigna Group (Bloomington, MN)
- …innovation and a commitment to delivering impactful solutions in the pharmacy and clinical space. This Product Manager will work closely with pharmacy ... work at hom_** The Business Development Lead on the Pharmacy Clinical Strategy Team will play a...formulary, and utilization management solutions. A strong background in pharmacy benefit management ( PBM ) is essential to… more
Related Job Searches:
Clinical,
Clinical Pharmacy,
Clinical Pharmacy Manager,
Manager,
PBM,
PBM Manager,
Pharmacy,
Pharmacy Manager