- Daiichi Sankyo, Inc. (Bernards, NJ)
- …to be approved) products including, but not limited to, areas of GPO/ PBM and trade/distribution agreements, Medicare, Medicaid, product pricing, and government price ... reporting. Coordination with, and appropriate supervision of, outside counsel as is required. Provides appropriate counsel and direction to other members of the Legal Affairs Department as well as serving as a mentor in order to foster their professional… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- Director, Physics & Biology in Medicine ( PBM ) Graduate Program Apply now to Director, Physics & Biology in Medicine ( PBM ) Graduate Program Job #JPF09990 + Deans ... yet been filled. Position description The Physics and Biology in Medicine ( PBM ) Graduate Program at UCLA (http://www. pbm .ucla.edu/) is seeking applications for… more
- The Cigna Group (Bloomfield, CT)
- …execution, launch and management of the Specialty Drug Management program within the PBM Product team at Express Scripts. This role will play a critical function ... Drug management offering. The individual needs to have deep understanding of the PBM payer perspective, industry trends, specialty pharmacy, and the overall PBM … more
- CVS Health (Irving, TX)
- …three days onsite and two days from home per week The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for a dynamic individual to join ... regulatory agencies and their contracted auditing organizations. As a Senior Manager, PBM Market Conduct Exam Support within Corporate Compliance, you will: + Work… 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 own and develop...transition stategies and product positioning + Align accomplishments to PBM Client Reporting OKR's and provide regular updates on… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract ... adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business. This position is responsible for supporting the solicitation, initiation… more
- CVS Health (Hartford, CT)
- …**Position Summary** CVS Health has an exciting opportunity to join our PBM Finance Enablement team as Business Analyst - Clinical contract management. CVS ... continuously innovate around how we report, analyze, and execute our PBM finance and contracting functions. Working across various departments including… more
- Elevance Health (Mason, OH)
- The **Pharmacy ( PBM )** **Business Consultant Sr.** is responsible for translating most highly complex and varied business needs into application software ... **Preferred Skills, Capabilities, and Experiences:** + SQL, Python, Teradata Experience + Pharmacy PBM Ops Experience + Ability to travel 10% Please be advised 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
- Walgreens (Deerfield, IL)
- …**Job ID:** 1524494BR **Title:** Director of Contract Development and PBM Account Management (Remote) **Company Indicator:** Walgreens **Employment Type:** **Job ... Master Degree/MBA + Experience in pharmacy industry in areas such as Retail, PBM , Managed Care, Mail Service, and Specialty Pharmacy. **Salary range: $165900 -… more
- CVS Health (Carson City, NV)
- …**For this role you will need Minimum Requirements** + 5+ years pharmacy, PBM , and/or insurance work experience + Basic awareness of problem solving and ... decision-making skills **Preferred Qualifications** + CPhT **Education** + Bachelor's degree preferred. **Pay Range** The typical pay range for this role is: $46,988.00 - $102,000.00 This pay range represents the base hourly rate or base annual full-time… more
- The Cigna Group (Bloomington, MN)
- **POSITION SUMMARY** The PBM Operations Business Product Owner (BPO) serves as the key interface and liaison between the business sponsor, or client and technology ... counterparts to advance high ROI/efficiency, division-wide and enterprise-wide initiatives. This individual would have responsibility for the accuracy and comprehensiveness of business requirements of new and modified business applications and/or products. The… more
- The Cigna Group (St. Louis, MO)
- …include:** + Ensure all interactions with clients are clear, concise, and easily understandable. + Identify, define, advocate, prioritize, communicate, and manage the ... execution of corporate-wide, business specific initiatives requiring technology enablement. + Collaborate cross-functionally across business areas to ensure initiatives are prioritized, planned and delivered appropriately & timely, while aligning to enterprise… more
- The Cigna Group (St. Louis, MO)
- …This position plays a pivotal role in the alignment of business vision, technology strategy and investment portfolio execution in Pharmacy Benefit Services team. This ... team is focused on driving the enterprise strategy to unlock accretive value through Benefit Set Up Transformation and improve operational efficiency. This team will identify horizontal capabilities, align line of business initiatives that move in the… more
- Medical Mutual of Ohio (OH)
- …review and resolution either directly or forwards/escalates to other departments or PBM . Monitors paid claims for accuracy including for transition supply oversight. ... a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and to members to provide status of… more
- CVS Health (Amherst, NY)
- …organization achieve sales goals. **Responsibilities:** **Pharmacy Sales Effectiveness:** Facilitate PBM related RFP (request for proposal) opportunities for new ... awareness of to trends, competitors, and dynamic shifts in the PBM marketplace. **Engagement, Partnerships and Education:** Participate in proactive outreach and… more
- The Cigna Group (Bloomfield, CT)
- …Scripts seeks an experienced attorney to join the team supporting its PBM Sales and Account Management organization. Duties will consist primarily of counseling ... the organization on legal matters relating to the PBM industry and operations, and negotiating PBM ...the PBM industry and operations, and negotiating PBM agreements between Express Scripts and external clients (health… more
- Amazon (Seattle, WA)
- …to work closely with Pharmacy leadership, including responsibility for PBM (Pharmacy Benefit Managers) contracting, controllership, financial metric tracking, ... recommendations balancing business growth and profitability metrics delivered through PBM and Provider partnerships and contracts. The successful candidate will… more
- New York State Civil Service (Albany, NY)
- …of the Deputy Superintendent, the Special Assistant will be a member of the PBM regulatory team with an expertise in pharmacy. Duties include, but are not limited ... the following:* Provides expert guidance and advice to the PBM regulatory team regarding pharmacy operations and PBM... PBM regulatory team regarding pharmacy operations and PBM interactions with pharmacies, including but not limited to:… more
- Mount Sinai Health System (New York, NY)
- …and other programs . Work collaboratively with clinic staff and the PBM to obtain authorizations and support with clinical processes in obtaining appropriate ... clinic team to complete the prior authorizations in the PBM portal + Patient education on medications/guidance on step/step...use, prescribing patterns and provider education. Pulling data from PBM prescription portal for QA report and analyzing +… more
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