• Pharmacy Benefits Managed

    Bon Secours Mercy Health (Cincinnati, OH)
    …auditing pharmacy benefit claims, and analyzing pharmacy benefits data. The Pharmacy Benefits Managed Care Analyst will have a variety of job ... Knowledge of laws and regulations regarding pharmacy and/or pharmacy benefits / managed care pharmacy + Performance Improvement + Attention to… more
    Bon Secours Mercy Health (11/01/24)
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  • Sr Analyst, Healthcare Analytics/ Provider…

    Molina Healthcare (Covington, KY)
    …with Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment… more
    Molina Healthcare (11/02/24)
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  • Pharmacy Operations Specialist (CPhT)…

    Molina Healthcare (Covington, KY)
    …, PBM, National Certified Pharmacy Technician (CPhT) certification, Medicaid, Medicare, Managed Care , MCO, Exchange, PBM, Pharmacy Benefit Management Pay ... reporting to the Healthplan + Solid understanding of how pharmacy benefits work. **KNOWLEDGE/SKILLS/ABILITIES** + Support Medicaid,...Access **Preferred Experience** + 3-5 years' experience in a managed care of PBM environment + 2+… more
    Molina Healthcare (11/03/24)
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  • Pharmacy Technician - (CPhT) Remote PST…

    Molina Healthcare (Covington, KY)
    …, PBM, National Certified Pharmacy Technician (CPhT) certification, Medicaid, Medicare, Managed Care , MCO, Exchange, PBM, Pharmacy Benefit Management Pay ... **Molina Health** care is hiring for a remote ** Pharmacy...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
    Molina Healthcare (10/31/24)
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  • Marketing Manager - Pharmacy

    Elevance Health (Mason, OH)
    …which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences** + Managed care or Pharmacy Benefit Manager (PBM) experience ... of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care **.** The **Marketing Manager** reports to the Director… more
    Elevance Health (10/30/24)
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  • Product Manager - CarelonRx Pharmacy

    Elevance Health (Mason, OH)
    …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The Product Manager is responsible for the design and ... Capabilities, and Experiences:** + MBA preferred. + Health or managed care experience preferred. + Product Lifecyle...Colorado In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (11/02/24)
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  • Clinical Pharmacist- Medicaid Custom Criteria…

    Elevance Health (Mason, OH)
    …**Minimum Requirements:** + Requires BA/BS in Pharmacy . + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work ... Skills, Capabilities and Experiences:** + PharmD preferred. + Managed Care Experience specific to formulary, Pharmacy and Therapeutics Committee, or… more
    Elevance Health (10/25/24)
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  • Immune Hematology Manager - Ohio Valley

    Sanofi Group (Cincinnati, OH)
    …Compliance, Legal and other team members. + Maintain extensive knowledge of the Managed Care , GPOs, Specialty Pharmacy , State Medicaid and Veterans ... experience is inclusive of field sales, hospital/academic institution sales and Managed Care experience within the oncology/hematology - transplant market.… more
    Sanofi Group (08/17/24)
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  • Director, US Field HEOR Scientist - Tri-State

    Bristol Myers Squibb (Cincinnati, OH)
    …area + Concentrate field-facing activities on specific accounts, which include regional managed care accounts and key integrated delivery networks in order ... ten years of previous work experience in the pharmaceutical, managed care , or consulting industries with a...then in effect and may include the following: Medical, pharmacy , dental and vision care . Wellbeing support… more
    Bristol Myers Squibb (11/01/24)
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  • PBM Formulary Analyst II

    Elevance Health (Mason, OH)
    …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **PBM Formulary Analyst II (** **Business Analyst ... provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Managed care /PBM experience strongly preferred. + Knowledge of systems… more
    Elevance Health (10/24/24)
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  • Process Expert II (US)

    Elevance Health (Mason, OH)
    …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Process Expert II** supports a single operations ... in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing);… more
    Elevance Health (10/16/24)
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  • Specialty Representative, Urology

    AbbVie (Cincinnati, OH)
    …Commercial pharmaceutical industry experiences such as physician/account-based selling, training, managed health care or marketing preferred. English language ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
    AbbVie (10/15/24)
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