- Elevance Health (Mason, OH)
- …in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager ( PBM ), pricing, data analysis; or any combination ... ** Pharmacy Benefits Manager Pricing...** Pharmacy Benefits Manager Pricing Strategy Analyst ...by law. The ** PBM Pricing Strategy Analyst Manager ** is responsible for Pharmacy Services pricing… more
- WTW (Los Angeles, CA)
- …including: + Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... Associate you will be at the forefront of managing pharmacy benefits projects for large, complex clients... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
- WTW (Denver, CO)
- …innovative engagement design and approaches + Advising on the latest industry trends + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... be leveraged nationally. + Driving new relationships and sales + Materially grow pharmacy benefits revenue through serving as the pharmacy benefits … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …team. This strategic role is key to driving successful IT development initiatives within the Pharmacy Benefits Manager ( PBM ) claims space. As a Senior ... have proven experience in business systems analysis, preferably within healthcare or PBM environments; additionally, you will have a strong understanding of PBM… more
- US Tech Solutions (May, OK)
- …for a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager ( PBM ) **Skills:** + MUST HAVE ... + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at least two years'… more
- Humana (Indianapolis, IN)
- …BH services + Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager ( PBM ) activities, including the ... is based upon company and/or individual performance. **Description of Benefits ** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers… more
- RxBenefits (Louisville, KY)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... Manager , Pharmacy Pricing is a leader and key contributor to...account claim and data requests + Respond to competing PBM offers to show RxBenefits pricing value and defend… more
- Point32Health (MA)
- …analysis, cost-benefit review of programs, and trend review by therapeutic class. Work with Pharmacy Benefit Manager ( PBM ) to monitor pharmacy spend ... (https://www.point32health.org/) . **Job Summary** Under the direction of the Director, Clinical Pharmacy Operations, the Senior Manager , Clinical Pharmacy … more
- The Cigna Group (Bloomfield, CT)
- …Pharmacy Sales Advisor is a licensed clinician who serves as the primary pharmacy benefits subject matter expert supporting Cigna Integrated Pharmacy ... Clinical Consulting Advisor** **Internal Job Title - Clinical Account Manager (CAM)** **Area of Operation - Colorado, Utah, Pacific...R.Ph. or Pharm.D. + 5 years or more of Pharmacy Benefit Management ( PBM ) experience supporting client… 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 and/or management roles. + Experience building relationships with HR buyers ( benefits manager , VPHR, etc.) and third-party consultants/brokers is key.… more
- Mount Sinai Health System (New York, NY)
- …health care related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional ... Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager ... pharmacy Non-Bargaining Unit, 203 - HSO PHARMACY BENEFITS MANAGEMENT - MSH, Mount Sinai… more
- CVS Health (Concord, NH)
- …compassionate. And we do it all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in ... member facing materials, including Evidence of Coverage, Summary of Benefits and Formulary guides. + Act as Subject Matter...a related field + 5+ years pharmacist experience in PBM or Health Plan + Strong execution and delivery… more
- RxBenefits (Charlotte, NC)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... or in our Birmingham, AL headquarters. The enhanced Strategic Pharmacy Analyst (SPA) team will expand and deepen the...Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** As an Account Manager , you will be responsible for managing client relationships, ensuring customer ... experience in a client / customer service-based environment or in a previous Account Manager role + 1+ years of experience with Microsoft Office Suite with a focus… more
- CVS Health (Scottsdale, AZ)
- …Management experience with a Health plan carrier. + Previous Client Management experience with a pharmacy benefit manager ( PBM ). + 3 - 5 years of experience ... on service levels and expectations, process improvements, operation of pharmacy benefits plans, identification of gaps in...healthcare industry experience detailed above with a focus in PBM / Pharmacy . + Ability to travel 25% +… more
- HCA Healthcare (Nashville, TN)
- …including exclusions, tier changes, and utilization management updates + Working knowledge of employee pharmacy benefits , PBM industry, and PBM supplier ... an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you...incredible team members over the course of three years. ** Benefits ** HealthTrust offers a total rewards package that supports… more
- WTW (Cincinnati, OH)
- …works within the Financial, Actuarial and Analytics (FAA) team and closely with the Pharmacy Practice within Health and Benefits . As a Pharmacy Associate ... This role that provides excellent opportunities to grow your pharmacy and broader health and benefits financial...pharmacy financial team + Present and explain complex pharmacy benefit financial strategies such as PBM … more
- CenterWell (Orlando, FL)
- … solutions. **Key Responsibilities:** + Serve as an expert in mail-order pharmacy benefits , including medication delivery timelines, refill processes, and ... + Previous experience in a call center environment or pharmacy tech role. + Familiarity with PBM ...largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more
- Molina Healthcare (Tampa, FL)
- …* Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager ( PBM ) for pharmacy contractually ... JOB DESCRIPTION **Job Summary** Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have… more
- University of Rochester (Rochester, NY)
- …contracts. + Maintains relationships with Total Rewards and pharmacy benefit manager responsible for employee benefits . Facilitates expanded pharmacy ... Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR… more