- CVS Health (Hartford, CT)
- …flows. **Preferred Qualifications** Experience in healthcare industry, including health insurance, PBM or pharmacy services. Experience with highly complex, ... CVS Health has an exciting opportunity to join our PBM Finance Enablement team as Business Analyst - Clinical...innovate around how we report, analyze, and execute our PBM finance and contracting functions. Working across various departments… more
- US Tech Solutions (May, OK)
- …based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management) required. + ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- Molina Healthcare (Columbus, OH)
- … Technician, Pharm Tech, Tech, National Certification, State License, Certification, Claims, Pharmacy Claims, Pharmacy , PBM , National Certified Pharmacy ... Technician (CPhT) certification, Medicaid, Medicare, Managed Care, MCO, Exchange, PBM , Pharmacy Benefit Management, Prior Auth Same Posting Description for… more
- Molina Healthcare (Provo, UT)
- … Technician, Pharm Tech, Tech, National Certification, State License, Certification, Claims, Pharmacy Claims, Pharmacy , PBM , National Certified Pharmacy ... Technician (CPhT) certification, Medicaid, Medicare, Managed Care, MCO, Exchange, PBM , Pharmacy Benefit Management, Prior Auth Same Posting Description for… more
- Ebenezer (Minneapolis, MN)
- …15+ years relevant work experience instrategy development and account management, in the PBM ,specialty pharmacy , and/or managed care industry. + 15+ years of ... relevant work experience performing analyticsin the PBM ,specialty pharmacy , and/or managed care industry. + 10+ years of leadership/people management experience… more
- Fairview Health Services (Minneapolis, MN)
- …15+ years relevant work experience in strategy development and account management, in the PBM , specialty pharmacy , and/or managed care industry. + 15+ years of ... relevant work experience performing analytics in the PBM , specialty pharmacy , and/or managed care industry. + 10+ years of leadership/people management… more
- Medical Mutual of Ohio (OH)
- …quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and to members ... provide status of intervention. . Tracks and coordinates daily issue/response files with PBM for claim resolution. Outreaches to pharmacy /prescriber as needed. .… more
- AbbVie (North Chicago, IL)
- …of employment. + A minimum of 3-5 years' experience within a healthcare provider, PBM , Specialty Pharmacy or Retail/Mail Order Pharmacy setting, familiarity ... advanced knowledge to assist in order processing for the pharmacy technician and fulfillment roles. The role will be...able to perform the core job responsibilities of a pharmacy technician and a fulfillment technician in addition to… more
- AbbVie (North Chicago, IL)
- …Practice Act. + A minimum of 3-5 years' experience within a healthcare provider, PBM , Specialty Pharmacy or Retail/Mail Order Pharmacy setting, familiarity ... Job Description Responsible for providing leadership, support, and supervision to the Pharmacy Technician and the Fulfillment teams to ensure all day to day… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …health care organization in at least one of the following areas: hospital operations, pharmacy operations, pharmacy benefit manager ( PBM ), retail pharmacy ... **Job Purpose Statement:** The Senior Pharmacy Compliance Analyst (SPCA) is responsible for the review and evaluation of healthcare regulatory compliance controls… more
- CVS Health (Northbrook, IL)
- …convenient and affordable. **Position Summary** CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic ... 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
- Elevance Health (Columbus, OH)
- …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Formulary Analyst II (** **Business Analyst ... ** PBM Formulary Analyst II (Business Analyst II)** _Location:...systems capabilities and business operations is strongly preferred. + Pharmacy technician experience strongly preferred. + Advanced analytical and… more
- Prime Therapeutics (Columbus, OH)
- …on analyzing, drafting, redlining and negotiating contracts on behalf of a Pharmacy Benefit Management ( PBM ) organization or another organization within the ... fuels our passion and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract… more
- CVS Health (New York, NY)
- …12. Key knowledge of industry - AI, Intelligent Automation, Data & Analytics, PBM , Specialty or retail pharmacy **Education** Required: Bachelor's degree in ... personal, convenient and affordable. **Position Summary** The Ld. Director, Specialty Pharmacy Artificial Intelligence (AI) Strategy & Integration is an engaging and… more
- HCA Healthcare (Nashville, TN)
- …Masters or Doctorate preferred + 7 years minimum of previous experience in pharmacy benefits, PBM service HR consulting, business development, sales operations ... yet take direction and articulate point of view + Key attributes of pharmacy benefits (plan design, formulary, PBM administrative/operations) + Must be willing… more
- New York State Civil Service (Albany, NY)
- …designee 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 ... the following:* Provides expert guidance and advice to the PBM regulatory team regarding pharmacy operations and PBM interactions with pharmacies, including… more
- Omnicell (Grapevine, TX)
- …as those specific to Specialty fulfillment and heat zones. + Oversees new pharmacy credentialing and enrollment. ** PBM /Payor Contracting and Audit Team** + ... + Specialty pharmacy experience + Knowledge and experience with PSAO ( Pharmacy Services Administrative Organizations) + Experience with PBM ( Pharmacy … more
- CVS Health (Phoenix, AZ)
- …experience in healthcare industry **Preferred Qualifications** 2+ years' experience with PBM or Specialty Pharmacy /Home Infusion industry preferred. * Previous ... include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts. Some of your key responsibilities will include: -… more
- Prime Therapeutics (Columbus, OH)
- …complex data to a wide variety of audiences **Preferred Qualifications** + PBM ( Pharmacy Benefit Management) experience + Experience conducting complex analysis ... internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or… more
- The Cigna Group (Bloomfield, CT)
- …a deep understanding of the health care industry, managed care, benefits, and pharmacy benefit management ( PBM ) sectors. **ESSENTIAL FUNCTIONS:** + Serve as ... legal department or law firm experience, with significant experience in healthcare ( PBM , pharmacy , health services, and/or managed care experience strongly… more