- Elevance Health (Wallingford, CT)
- …within a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The ** PBM Contract Process Manager ** is responsible for managing the ... are not limited to: + Develops and oversees the PBM contract management approval process ....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sanofi Group (Cambridge, MA)
- …while helping to make an impact on millions around the world. As ** Manager , Contract Development** within our Contract Development and Administration ... team, you'll be part of the contract negotiation process that provides access to...analysis to evaluate pricing proposals by Account Management and/or PBM /Payer Customers and provide financial and strategic recommendations/solutions for… more
- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Manager - Contract Development** **What you will do** Let's do this. Let's ... US Value & Access team is searching for a Manager - Contract Development to join the...validation and disputes + Identify, lead, and project manage process improvements with the Formulary Validation team and its… more
- Boehringer Ingelheim (Ridgefield, CT)
- …or PBM /Payor/Covered Entity experience is preferred. + Understanding of Contract Law, Compliance with Government Regulations and limit exposure to potential ... BIPI, as applicable, and to provide support to the Associate Director, Contract Compliance by: developing a comprehensive discount accrual forecasts and by providing… more
- Elevance Health (Altamonte Springs, FL)
- …Skills, Capabilities and Experiences:** + Pharmacy experience strongly preferred. + Payor contract , health plan, and PBM experience preferred. + Smartsheet and ... support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite Monday-Friday 380 Northlake Blvd,… more
- HCA Healthcare (Nashville, TN)
- …with key buyers and brokers in the corporate sector, with intimate knowledge of the process and procedures used to govern PBM selection + Deep experience working ... and Qualifications** + **Position is responsible for the continued growth of HealthTrust's PBM program at the center, focused on execution of go to market… more
- CVS Health (Phoenix, AZ)
- …a Fortune 5 company, on our multifaceted Underwriting team? As a Senior Manager in our Underwriting group you will utilize your business, industry, competitive, ... network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts. Some of your key responsibilities will...offers. Finally, your skills as a leader and a manager will be tested, and the continued growth of… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations is ... to ensure effective management of employees, departmental interaction, and process improvements. This position is accountable for departmental leadership by… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description Summary** **Job Description** Overall management of assigned ... autonomously make good judgement and decisions regarding customer satisfaction and contract requirements. + Communicates and updates account service information to… more
- Prime Therapeutics (Columbus, OH)
- …and accrediting bodies + Manage and provide oversight to the privacy contract management process ; advanced understanding, interpretation and drafting knowledge ... and drives every decision we make. **Job Posting Title** Manager , Privacy - Remote **Job Description** The Manager...in a regulatory role + Healthcare, Pharmacy Benefit Management ( PBM ) or other managed care work experience + Master's… more
- Novant Health (Winston Salem, NC)
- …Pharmacy Benefits Specialist at Novant Health works closely with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and the People and Culture team to ... Benefits Specialist assumes responsibility for: + Collaborating with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and People and Culture to… more
- The Cigna Group (Bloomfield, CT)
- **Clinical Program Sr. Manager - Commercial Formulary Solutions** **JOB PROFILE SUMMARY** The Sr. Manager , Formulary Solutions is a dynamic role responsible for ... & Strategy partners to identify strategic formulary opportunities, requiring expertise in contract interpretation + Oversee the strategy and review of the Sr.… more
- Sanofi Group (Bridgewater, NJ)
- …D and Managed Medicaid. This position will support National Pharmaceutical Benefit Manager ( PBM ) customers. Responsibilities include timely and accurate loading ... NJ **About the Job** The Managed Care Specialist is responsible for contract management for various markets including Commercial Contracts, Medicare Part… more
- The Cigna Group (Bloomfield, CT)
- …work experience in pricing and/or underwriting. + Experience in Pharmacy Benefits Manager ( PBM ), Managed Care, Healthcare, Pharmaceutical preferred. + Strong ... will be required to gain in-depth knowledge of the PBM Industry and ESI-specific pricing methods. The Risk and...in specialty arrangement request, etc.) + Advise on contracting process and install process for renewing and… more
- The Cigna Group (St. Louis, MO)
- …to analyze and explain cost trends + Experience in Pharmacy Benefits Manager ( PBM ), DIRECT Medical/Home Infusion, Managed Care, Healthcare, Pharmaceutical ... and Underwriter Advisor will be required to gain in-depth knowledge of the PBM Industry, CMS (Medicare MedB & D), Home Infusion, and Accredo-specific underwriting… more
- Kedrion Biopharma (UT)
- …of fees and accuracy of chargebacks. + Lead and work with Corporate Accounts Manager /s to identify, execute and drive sub-GPO contract execution and compliance, ... members of the commercial organization to ensure effective and compliant contract negotiations, execution and revisions and contract pull-through/compliance. +… more
- Prime Therapeutics (Columbus, OH)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... Prime and the strategic plan of the client, ensuring contract compliance and measurement of key deliverables + Establish...meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and… more
- Prime Therapeutics (Columbus, OH)
- …Serves as facilitator and mentor to the clinical liaisons for assigned contract (s). Assists Account Managers with managing overall client relationship and driving ... program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and… more
- Prime Therapeutics (Columbus, OH)
- …(Word, Excel, Power Point, Visio and Access) **Preferred Qualifications** + Health insurance/ PBM operations and/or contract audit experience + Experience with ... of various audit types and serves as a CAM process /subject matter expert supporting the navigation of the end-to-end...to adjust focus **Reporting Structure** + Reports to a Manager in the Compliance department Potential pay for this… more
- CVS Health (Scottsdale, AZ)
- …with a Health plan carrier. + Previous Client Management experience with a pharmacy benefit manager ( PBM ). + 3 - 5 years of experience of relevant pharmacy ... block of business to include discussions on service levels and expectations, process improvements, operation of pharmacy benefits plans, identification of gaps in… more