- Intermountain Health (Murray, UT)
- …to join us on this exciting journey! Scope Provides direct management to pharmacy clinical coordinators multiple pharmacy residents and the business ... **Job Description:** The Pharmacy Services Manager provides leadership and...cost reductions. Aids in contracting and auditing the SelectHealth Pharmacy Network. Coordinates clinical pharmacy … more
- Elevance Health (Columbus, OH)
- …experience) would be a plus. + 5+ years of experience leading and managing Pharmacy Benefit Manager / PBM end-to-end testing for web and mainframe-based ... PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing… more
- Elevance Health (Mason, OH)
- …technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Formulary Analyst II (** **Business Analyst ... ** PBM Formulary Analyst II (Business Analyst II)** _Location:...systems capabilities and business operations is strongly preferred. + Pharmacy technician experience strongly preferred. + Advanced analytical and… 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to achieve optimal participant care outcomes. + Collaborate with Pharmacy Benefit Manager ( PBM ) clinical team and internal BCBSMA departments to align ... identifying and resolving drug-related problems for participants . The clinical pharmacist will assist the Pharmacy Department.... The clinical pharmacist will assist the Pharmacy Department in the measurement of program objectives and… 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
- Intermountain Health (Murray, UT)
- …required in office. Will involve some travel Scope Provides direct management to pharmacy clinical coordinators multiple pharmacy residents and the business ... **Job Description:** The Pharmacy Services Manager provides leadership and...cost reductions. Aids in contracting and auditing the SelectHealth Pharmacy Network. Coordinates clinical pharmacy … 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
- BrightSpring Health Services (Englewood, CO)
- …+ Basic pharmacy knowledge of reading and interpreting prescriptions and submitting pharmacy claims to PBM payers. + Working knowledge of automated billing ... provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the… more
- HCA Healthcare (Nashville, TN)
- … Benefit Management is responsible for the continued growth of the HealthTrust Pharmacy Benefit Management ( PBM ) Program including leading a team of individuals ... experience in business development for pharmacy benefits with a pharmacy benefits manager , third-party administrator, consulting services business, or… more
- Elevance Health (Altamonte Springs, FL)
- **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 ... of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a… 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
- Elevance Health (Altamonte Springs, FL)
- …Analyst** is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers ( PBM ) for all pharmacy sites. **How ... **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx),...easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty… more
- Access Dubuque (Dubuque, IA)
- Clinical Account Manager **MedOne Pharmacy...care at MedOne. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving ... Benefit Solutions **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members… 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
- Elevance Health (Wallingford, CT)
- …technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care **.** The **Marketing Manager ** reports to the Director of ... background. **Preferred Skills, Capabilities, and Experiences** + Managed care or Pharmacy Benefit Manager ( PBM ) experience preferred. + Associates in this… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Product Manager - REMOTE /Medical Specialty Pharmacy **Job Description** The Product ... in the Microsoft Office Suite **Preferred Qualifications** + 1 year of Pharmacy Benefit Management ( PBM ) experience **Minimum Physical Job Requirements** +… more
- Elevance Health (Louisville, KY)
- …new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. The Product Manager is responsible for the design and ... **Product Manager ** _This position will work a hybrid model...experience preferred. + Product Lifecyle Management experience preferred. + PBM knowledge a plus. For candidates working in person… 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
- 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
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