- Elevance Health (Atlanta, GA)
- ** PBM Compliance Manager ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal ... a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The PBM Compliance Manager will be responsible for coordinating pharmacy … more
- Cardinal Health (Atlanta, GA)
- …2 support + Supervises PSAO Network Affiliations and Credentialling Team + Supervises PBM Contract compliance including effective rate terms and conditions in ... sales growth and improved profitability. **_Job Summary_** The Senior Manager , PSAO Network & Payor Relations is a key...Relations is a key management position that leads the PBM relations team and is the primary point of… more
- Prime Therapeutics (Atlanta, GA)
- …or GED is required + 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated ... tracking, renewing and submitting applications for licensure **Preferred Qualifications** + PBM /health care experience + Certified Compliance and Ethics… more
- Elevance Health (Atlanta, GA)
- **Job Title:** Program Manager **Location:** Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations: + Mason, OH - 4361 Irwin ... Wood Ave. S. + Atlanta, GA - 740 W Peachtree St. NW The **Program Manager ** is responsible for the development and ongoing management of one or more multi-year… more
- Highmark Health (Atlanta, GA)
- …into financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager ( PBM ), pharmacy Group Purchasing Organization (GPO) and vendor ... experience in Data Analytics or Financial Reporting + 5 years of experience in PBM or Pharmacy finance **Preferred** + None **SKILLS** + Strong Financial Acumen +… more
- Prime Therapeutics (Atlanta, GA)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... and the strategic plan of the client, ensuring contract compliance and measurement of key deliverables + Establish key...meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and… more
- Molina Healthcare (Atlanta, GA)
- …Utilization Management (UM) will serve as a team lead to support the pharmacy manager in the daily operations of the pharmacy team as well as provide regular ... prior authorization/UM operations; support team workflow and functions to maintain compliance with CMS guidelines; and work in accordance with department policies… more
- Highmark Health (Atlanta, GA)
- …towards FSA Certification + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing ... establish project objectives, specify strategies, and organize necessary tasks. Keep manager informed. + Interact with stakeholders in a manner that fosters… more
- Highmark Health (Atlanta, GA)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to… more
- Prime Therapeutics (Atlanta, GA)
- …**Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in ... PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this… more