- 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
- 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 (Irving, TX)
- …and affordable. **Position Summary** Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the path to better health is affordable, easy ... health care costs. Caremark is recruiting for an AVP, PBM Platform and Automation who creates and implements the...of healthcare experience, preferably in the Pharmacy Benefit Managers ( PBM ). + Ability to travel 10-20% based on business… 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. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $102,000.00 This pay range… more
- The Cigna Group (Austin, TX)
- …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
- 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
- Highmark Health (Harrisburg, PA)
- …of an inter-disciplinary team that supports the principles of Patient Blood Management ( PBM ) for all AHN patients. This includes oversight of the care of Bloodless ... evidence based strategies, collaboration, and a true clinical viewpoint allowing expansion of PBM and its principles across AHN. The Incumbent is expected to provide… more
- Insight Global (Buffalo Grove, IL)
- …Cloud). Ability to establish a single source of truth for various data domains within PBM to ensure the availability of clean, accurate, and timely data to PBM ... the architecture community to drive modernization opportunities for the advancement of PBM technology while considering the complexities of our IT landscape. Develop… 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 (Nashville, TN)
- …and affordable. **Position Summary** Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the path to better health is affordable, easy ... regulatory landscape within the Government Services Division and Pharmacy Benefit Management ( PBM ) business. Reporting directly to the VP of Regulatory Affairs, you… more
- The Cigna Group (Bloomfield, CT)
- …of issues and suggests solutions affecting the pharmacy benefit management (" PBM ") business. Handles complex issues and effectively communicates relevant guidance to ... work with impacted businesses to provide strategic advice based on review of PBM -focused laws and regulations. Able to identify the degree of legal risk associated… 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
- CVS Health (Columbus, OH)
- …by analyzing drug utilization patterns and trends for our Pharmacy Benefit Management ( PBM ) clients. In this role, you will be focusing on the clinical aspects ... position CVS Health for long-term growth in the competitive PBM marketplace. This position can be located anywhere in...specific focus on quantitative analysis methods + Knowledge of PBM adjudication engines and other systems leveraged in support… more
- Cardinal Health (Columbus, OH)
- …PSAO Network & Payor Relations is a key management position that leads the PBM relations team and is the primary point of contact for contract compliance and ... and oversight of PSAO Network Tier 2 support. **_Responsibilities_** + Oversees PBM Relations Team including Tier 2 support + Supervises PSAO Network Affiliations… 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
- 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
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