- CVS Health (Carson City, NV)
- …Warranties **For this role you will need Minimum Requirements** + 5+ years pharmacy, PBM , and/or insurance work experience + Basic awareness of problem solving ... member retention, and achievement of financial objectives. **What you will do:** ** Client Support** + Plan changes + ID Card Facilitation + Reporting (scheduled,… more
- Elevance Health (Middletown, NY)
- …cycle of a PBM contract from beginning to completion (RFP through PBM Client Agreement execution), including the contract approval process. **How You Will ... each way of a relevant Elevance Health location. The ** PBM Contract Process Manager ** is responsible for...account inquiries. + Provides consultative services to sales and client groups in response to questions and offers appropriate… more
- CVS Health (Austin, TX)
- … marketplace. **Required Qualifications** Required Qualifications: 5+ years of Healthcare/ PBM experience **Preferred Qualifications** + Excellent communication ... convenient and affordable. **Position Summary** As a Benefit Testing Manager , you will be part of Client ...team. You will have the opportunity to utilize your PBM technical skills and logical skills to analyze the… more
- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is responsible ... all Medicare strategic initiatives and market development. The Medicare Client Strategy Senior Manager plays a critical...degree in related field + 5-7 years of related experience + Strong knowledge of the PBM … more
- HCA Healthcare (Nashville, TN)
- …language. + Ensure all contractual obligations are met for both HealthTrust and each client . + Ensures the PBM supplier partner delivers on all services in ... managing all aspects of the contract for the HealthTrust PBM Program which has $5.8B in annual spend. The...advance degree a plus. + Minimum 7+ years of experience with a pharmacy benefit manager and/or… more
- Access Dubuque (Dubuque, IA)
- …patient care at MedOne. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... within 4 months). + At least 2 years of experience in a client -facing or consultative role...Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide.… more
- CVS Health (Boston, MA)
- …Data analytics or Financial Analysis within Healthcare. **Preferred Qualifications** + Previous PBM experience preferred. + Experience working with health ... care more personal, convenient and affordable. **Position Summary** As Manager , CFAO Assumptions & Data Tools, you will be...the Underwriting process. + Foster strong links to the PBM finance team regarding forecasting assumptions, client … more
- CVS Health (Woonsocket, RI)
- …more personal, convenient and affordable. **Position Summary** : As a member of the Client and Network Pricing Team you will be responsible for the coordination of ... for analyzing, managing and implementing pricing solutions for hundreds of Caremark PBM accounts. To accomplish this, you will work to optimize prices, develop… more
- CVS Health (Phoenix, AZ)
- …include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts. Some of your key responsibilities will include: ... for Proposals (RFPs) to define and approve scope of PBM client support and to forecast accurate...experience in healthcare industry **Preferred Qualifications** 2+ years' experience with PBM or Specialty Pharmacy/Home Infusion… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …development, performance and analysis of Managed Care data, post audit disputes, and PBM customer dispute analytics. This is a customer/ client facing role that ... Manager , Contract & Formulary Compliance Date: Oct 17,...Review Managed Care Contracts, data, and perform analysis on PBM /customer disputes when/if they arise. + Prepare PowerPoint presentations… more
- The Cigna Group (St. Louis, MO)
- **THE POSITION:** The Enterprise Client Executive (ECE) serves as the Executive Sponsor for our largest and most complex clients and manages the enterprise strategy ... those clients. The forward thinking ECE is the general manager of assigned existing accounts and prospects. In this...and prospects. In this capacity, the ECE must accelerate client value by leading our long-term consultative strategy and… more
- HCA Healthcare (Nashville, TN)
- …required + 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...plan sponsor protocols and requirements related to procurement and PBM + Experience building and maintaining relationships… more
- BlueCross BlueShield of North Carolina (NC)
- …and tactical aspects of all Medicare related pharmacy benefit management ( PBM ) activities, new initiatives, and other ongoing business deliverables in accordance ... with business needs. Identifies, evaluates, and resolves issues with PBM related deliverables. Resolves issues by utilizing facts, knowledge, and experience to… more
- Conduent (Elkridge, MD)
- …perspective and provide mitigation plans + Demonstrating expertise and guidance through PBM implementation and O&M + Communicating with client regularly ... on a monthly basis **Qualifications:** + Expertise within the PBM and healthcare fields + Experience in... in tools like Azure DevOps and Jira + Experience leading a team and client facing… more
- CVS Health (Irving, TX)
- …HUB locations, Scottsdale, AZ - Irving, TX - Northbrook, IL. **Preferred Qualifications:** PBM or Health Plan experience Client implementation experience ... new and/or existing clients joining CVS Caremark and/or strategic products. This is a client facing role. As an Implementation Manager Analyst you will support… more
- Prime Therapeutics (Hoover, AL)
- …+ Current pharmacist license in good standing with the Board of Pharmacy + PBM Experience + 1 year of direct client management experience + 1 year of ... Manager is responsible for the management of all client specific clinical programs and drug strategy recommendations including...Board of Pharmacy + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care… more
- The Cigna Group (Bloomfield, CT)
- … client facing products, broad-based knowledge of Regulated Markets/Pharmacy Benefit Manager ( PBM ) operations, experience leading people, a strategic ... subject matter expertise to internal/external stakeholders, deliver presentations in account team/ client forums, support existing and new client implementations,… more
- Kepro (Albany, NY)
- …a hybrid role based in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary: Business Analyst Manager is responsible ... Integration with Claims, Third Party Liability (TPL) and Pharmacy Benefits Management ( PBM ) systems. This role involves leading team in managing requirement and… more
- The Cigna Group (Honolulu, HI)
- **POSITION SUMMARY** Staff Pharmacist, Sr. Manager , Pharmacist In Charge (PIC) Responsible for the management and performance of clinical pharmacy fulfillment ... for ensuring quality and service standards are maintained and aligned with client specific contractual requirements. Align and work with management on annual… more
- CVS Health (Phoenix, AZ)
- …specifically Microsoft Excel, Word, Outlook, Access **Preferred Qualifications** - Previous experience within Pharmacy Benefit Management ( PBM ) or pharmaceutical ... team in Scottsdale, AZ. As the Grievance Quality Associate Manager , you will oversee a team of Grievance Analysts...drive ongoing quality improvement - Participate in CMS-facing or client -facing meetings and presentations - Set goals for team… more