- Elevance Health (South Portland, ME)
- …a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. ** Compliance Manager ** **Location:** Elevance Health supports a hybrid ... includes remote work and 1-2 days in office per week. The ** Compliance Manager ** is responsible for managing foundational and strategic compliance … more
- CVS Health (Augusta, ME)
- …plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and utilization management ... up for projects on the operations plan while ensuring compliance to internal best practice and federal and state...relevant work experience as a pharmacist in managed care ( PBM ) environment + Demonstrated understanding of CVSH clinical portfolio,… more
- CVS Health (Augusta, ME)
- …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
- Highmark Health (Augusta, ME)
- …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