- CVS Health (Northbrook, IL)
- …efficiency through automation and enhanced client satisfaction. We are looking for a PBM Client Reporting Product Manager to own and develop BAU reporting ... **Position Summary** CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic capability, rather than the more… more
- CVS Health (Irving, TX)
- …state regulatory agencies and their contracted auditing organizations. As a Senior Manager , PBM Market Conduct Exam Support within Corporate Compliance, you ... two days from home per week The Corporate Compliance PBM Business Compliance Office (BCO) is currently looking for...dynamic individual to join our team in a Senior Manager role. This position will perform highly complex support… more
- Elevance Health (Columbus, OH)
- …clinical-first lens, to deliver member-centered, lasting pharmacy care. **Compliance Manager ** **Location:** Elevance Health supports a hybrid workplace model ... remote work and 1-2 days in office per week. The **Compliance Manager ** is responsible for managing foundational and strategic compliance responsibilities with… more
- Medical Mutual of Ohio (OH)
- …with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and to members to provide ... with 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
- Access Dubuque (Dubuque, IA)
- …**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... Implementation & Project Manager **MedOne Pharmacy Benefit Solutions** 1 Positions ID:...continued professional development to stay up-to-date on the latest PBM products, services, and technical enhancements. + Assists with… more
- Access Dubuque (Dubuque, IA)
- …On 12/13/2024 **Job Overview** **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- HCA Healthcare (Nashville, TN)
- …habits. The individual will also be responsible for supporting the pharmacy benefit manager ( PBM ) by assessing payer policies and opportunities for alignment ... join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA...changes + Serve as SME for the GPO and PBM on various payer strategies, including but not limited… more
- Access Dubuque (Dubuque, IA)
- …and drive our success. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ) dedicated to helping clients and members nationwide access the ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- CVS Health (Hartford, CT)
- …ensure continuous improvement of the Business Continuity program across Pharmacy Benefit Manager ( PBM ) business. This position is responsible for the ... This position follows a hybrid working schedule The Business Continuity Manager role is responsible for implementing CVS Health's Enterprise Resiliency strategy… 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
- Medical Mutual of Ohio (OH)
- …ongoing oversight. . Assures compliance with contractual requirements of Pharmacy Benefit Manager ( PBM ) vendor for processing of pharmacy claims, accumulator ... data services and/or systems in a health plan or PBM , or equivalent experience in healthcare or financial services....including membership and claims, with a prescription drug management ( PBM ) company. . Knowledge of PBM benefits… more
- The Cigna Group (Morris Plains, NJ)
- …managing client facing products, broad-based knowledge of Regulated Markets/Pharmacy Benefit Manager ( PBM ) operations, experience leading people, a strategic ... translate strategies into actions/requirements + Successful track record as a people manager and/or possesses clear aptitude as a leader + Excellent organizational… more
- Access Dubuque (Dubuque, IA)
- …On 12/13/2024 **Job Overview** **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- Sharp HealthCare (San Diego, CA)
- …+ Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication of medications that ... are authorized by Sharp Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The ... experience + Prior experience with data consolidation and modeling + Prior PBM experience or experience working with medical claims, pharmacy claims, healthcare… 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
- Access Dubuque (Dubuque, IA)
- …On 12/13/2024 **Job Overview** **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- State of Michigan (Lansing, MI)
- …matter experts/team leads, BPHASA and the Department's Pharmacy Benefit Manager ( PBM ) Vendor. E Level PD (https://MCSC.state.mi.us/AgencyPDFs/Interface Analyst ... matter experts/team leads, BPHASA, and the Department's Pharmacy Benefit Manager ( PBM ) Vendor. A Level PD (https://MCSC.state.mi.us/AgencyPDFs/DEPTALTA880N PD… 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 ... portfolio in multiple systems including ECP (Electronic Claims Processor) and Revenue Manager (Model N administration system). This position will analyze and pay… more
- WTW (Irvine, CA)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM ... benefit plans gained in a consulting, brokerage or carrier/pharmacy benefit manager environment + Proven experience creating project plans and successfully leading… more
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