- Elevance Health (Tampa, FL)
- …a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. ** Compliance Manager ** **Location:** Elevance Health supports a hybrid ... 1-2 days in office per week. Alternate locations may be considered. The ** Compliance Manager ** is responsible for managing foundational and strategic … more
- Prime Therapeutics (Tallahassee, FL)
- …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
- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Sr. Health Plan Account Manager - Remote **Job Description** The Sr Health Plan Account Manager serves ... year of experience within claims analysis or other operational PBM functions and 3 or more years direct client...within an organization + Ability to balance and prioritize compliance , business and other competing goals and risks, while… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible for ... at all levels within an organization + Ability to balance and prioritize compliance , business and other competing goals and risks, while still driving programs and… more
- Prime Therapeutics (Tallahassee, FL)
- …and ability to adjust focus Reporting Structure: Reports to Principal or a Manager in the Privacy/ Compliance Department Potential pay for this position ranges ... is responsible for administration of privacy program activities to enable compliance and prevent, detect and correct privacy incidents across the organization.… more
- Prime Therapeutics (Tallahassee, FL)
- …depth perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the Compliance department Potential pay for this position ranges ... this role pursues and obtains additional expertise as indicated from respective Compliance and operational subject matter experts to meet the applicable regulatory,… more
- Prime Therapeutics (Tallahassee, FL)
- …depth perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the Compliance department Potential pay for this position ranges ... The Advisor seeks and obtains additional expertise as indicated from respective Compliance and operational subject matter experts to meet the applicable regulatory,… more
- CVS Health (Tallahassee, FL)
- …Summary** The Federal Employee Program (FEP) is one of the largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr. Manager provides ... deployed, the Medicare Business Analytics - FEP - Sr. Manager incorporates these into all aspects of the claims...are visible to leadership and operational teams to ensure compliance and client profitability. **Required Qualifications** + 5+ years… more
- Prime Therapeutics (Tallahassee, FL)
- …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
- Prime Therapeutics (Tallahassee, FL)
- …routing using BGP + Experience with Palo Alto Prisma Access, Strata Cloud Manager and Cloud Identity Engine + Regulatory compliance requirements (such as ... and verbal communication skills. + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM … more
- Actalent (Lakeland, FL)
- …health benefits, and a 401k plan. As a growing company with a Pharmacy Benefit Manager ( PBM ), specialty, and traditional mail order services on site, there is ... information into our processing system, ensuring appropriate dosing and compliance with regulations. Responsibilities + Efficiently enter prescription orders into… more
- Highmark Health (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …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. + Utilize subject matter expertise and industry knowledge to… more
- Prime Therapeutics (Tallahassee, FL)
- …we make. **Job Posting Title** Mgr Solution Products- REMOTE **Job Description** The Manager Solution Products is responsible for the value delivered by the products ... prioritize features, and ensure timely delivery of solutions that meet compliance and regulatory standards; and maximize value. + Drive continuous improvement… more
- Prime Therapeutics (Tallahassee, FL)
- …**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
- Highmark Health (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …to create automation workflows + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM ... perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this position ranges from $94,000.00… more
- Prime Therapeutics (Tallahassee, FL)
- …skills **Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience working an ... in Agile/Product Delivery model + Previous experience in PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the Information Technology department Potential pay for… more