- Elevance Health (Columbus, OH)
- … PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing ... + 5+ years of experience leading and managing Pharmacy Benefit Manager / PBM end-to-end testing for web and mainframe-based applications, including defining… more
- University of Utah Health (Salt Lake City, UT)
- …transfusion practices, optimization of hemostasis and/or coagulopathy, and patient-centered care. The PBM Program Manager has expertise in PBM delivery, ... and trust that are integral to our mission. EO/AA_ Patient Blood Management ( PBM ) is a patient-centered and evidence-based approach applied at the system-level to… 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
- CVS Health (New York, NY)
- …& Behavior Change"), you'll have the opportunity to drive the next level of PBM (Pharmacy Benefit Manager ) member experience and service quality at a leading ... for experienced data scientists to drive efficiency and growth in Caremark's PBM business, using advanced analytics, predictive modeling, and statistics. We expect… more
- Access Dubuque (Dubuque, IA)
- …patient care at MedOne. **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
- CVS Health (Springfield, IL)
- …& Behavior Change"), you'll have the opportunity to drive the next level of PBM (Pharmacy Benefit Manager ) member experience and service quality at a leading ... national healthcare brand. PBM Analytics is one of the key teams within...Analytics & Behavior Change department and partners with the PBM leadership to drive innovation and develop cutiing edge… more
- Elevance Health (Columbus, OH)
- …develop and implement integrated member/customer engagement marketing campaigns for CarelonRx PBM (Pharmacy Benefits Manager ) that deepen relationships and align ... benefits for a large company, or with a pharmacy benefits manager ( PBM ). + Experience building marketing strategy and executing successful marketing campaigns.… 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
- Elevance Health (Independence, OH)
- …**Preferred Skills, Capabilities, and Experiences** + Managed care or Pharmacy Benefit Manager ( PBM ) experience preferred. + Associates in this role are ... **Marketing Manager - Pharmacy** **Location:** Elevance Health supports a...to deliver member-centered, lasting pharmacy care **.** The **Marketing Manager ** reports to the Director of Growth and Retention… more
- CVS Health (New York, NY)
- …& Behavior Change"), you'll have the opportunity to drive the next level of PBM (Pharmacy Benefit Manager ) member experience and service quality at a leading ... aspiring analytical enthusiasts to drive efficiency and growth in Caremark's PBM business, using advanced analytics, predictive modeling, and statistics. We expect… more
- G-TECH Services, Inc. (Detroit, MI)
- …included in executive dashboard. * Assist with all functions related to Pharmacy Benefit Manager ( PBM ) oversight for Medicare Advantage Part D plans. * Receive ... and participates in group or committee discussions. * Supports PBM audit and analytics to support Medicare pharmacy services...- The most important must-have skills. * Health plan, PBM or related experience - at least 2 years… 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
- Lenovo (Morrisville, NC)
- …. **Description and Requirements** **Role Overview:** The Procurement Brand Manager ( PBM ) is responsible for overseeing the procurement ... Procurement Brand Manager **General Information** Req # WD00073875 Career area: Procurement Country/Region: United States of America State: North Carolina City:… more
- The Cigna Group (Bloomfield, CT)
- …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
- WTW (Short Hills, NJ)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM ... plans gained in a consulting, brokerage or carrier/pharmacy benefit manager environment, Rx division of a health plan, ...manager environment, Rx division of a health plan, PBM + Proven experience creating project plans and execution… 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
- St. Luke's Health System (Boise, ID)
- …join our Patient Blood Management ( PBM ) program, under the leadership of the PBM Quality RN Manager . Are you an experienced clinical nurse who enjoys ... this may be the role for you! St. Luke's Patient Blood Management ( PBM ) is an interdisciplinary, patient-centered program for optimizing patient Blood Health through… more
- Elevance Health (Columbus, OH)
- ** PBM Formulary Analyst II (Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Formulary Analyst II (** **Business Analyst II)** is responsible for… more
- Access Dubuque (Dubuque, IA)
- …invite you to apply! **Company Information** 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
- Access Dubuque (Dubuque, IA)
- …11/15/2024 **Job Overview** **Who We Are:** MedOne is a full-service pharmacy benefit manager ( PBM ) serving clients and members nationwide. Our fully transparent ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more