- Merck & Co. (North Wales, PA)
- …account and contract responsibility across the entire US health care system: Pharmacy Benefit Managers, Health Plans, State Medicaid agencies, Integrated ... insightful customer experiences, and enriching employee experiences for IAM Contract Management , Service Agreement, Account Management , and Channel Strategy… more
- Segal (Washington, DC)
- …trusted advice that improves lives? Are you inspired by solving for mysteries in pharmacy benefits data? This opportunity may be for you!Our Senior Consultant, ... Pharmacy Benefits Financial Analyst creates and analyzes ...approaches to quality assure and measure the effectiveness of PBM and Healthcare company cost and utilization management… more
- CornerStone Staffing (Dallas, TX)
- …to the dispensing specialty pharmacy Research pharmacy and medical benefits in order to process benefit overrides Enter (or submit) override details ... opportunities. Once Hired full time, they offer a full benefit package including 401k, Medical Plans, great location and...in the PBM claim system and informs the dispensing … more
- ConsultNet (North Kingstown, RI)
- …with Five9 and Virtual Observer software One to three years of experience in the PBM or health plan pharmacy space Candidate should have working knowledge of ... will focus on supporting our Medicare Part D and PBM business by providing a complex level of service... and Medicare Part D business; explain processes, protocols, benefits , services to members and (sometimes providers) Ability to… more
- BrightSpring Health Services (Morton Grove, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... access, and verify the accuracy of data in the pharmacy and PBM systems. + Establish and...custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients… more
- The Cigna Group (St. Louis, MO)
- ** Pharmacy Benefit Management Strategy...effective, and affordable for our patients and clients. The Pharmacy Benefit Manager ( PBM ) Strategy ... and career opportunities. **Responsibilities:** + Provide support to the PBM Strategy and Business Development team on special projects...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve… more
- Access Dubuque (Dubuque, IA)
- …+ Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management ( PBM ), Retail Pharmacy , ... the MedOne team! **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving...closely with Subject Matter Experts (such as Clinical, Network Management , and Rebates) teams to incorporate their most up… more
- Prime Therapeutics (Columbus, OH)
- …diploma or GED is required + 5 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated ... Pharmacy Network Manager is responsible for development and management of Prime's retail, mail, specialty and quality-based ...in business, healthcare or related area of study + Pharmacy contracting experience within a PBM or… more
- Commonwealth Care Alliance (Boston, MA)
- …claims messaging occur, and letters sent to members in a timely fashion + Escalate to pharmacy management and PBM on issues with claims + Identify systemic ... monthly CDAG reports for timeliness of PAs processed by PBM **EXPLANATION OF BENEFITS (EOBs)** + Monthly...EOBs to ensure accuracy of information + Escalate to pharmacy management and PBM when… more
- Elevance Health (Columbus, OH)
- …stakeholders in the region. + Provides ongoing support to regional decision makers and support pharmacy benefit management ( PBM ) field sales team during ... + Experience working in the managed care/healthcare insurance industry most notably in pharmacy benefits ; PBM experience strongly preferred. + Experience and… more
- BrightSpring Health Services (Tempe, AZ)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through… more
- BrightSpring Health Services (Morton Grove, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through… more
- BrightSpring Health Services (Englewood, CO)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients...more than 32,000 patients per day. Through its Concierge PBM , Next Day Valet mail order and Direct Express… more
- BrightSpring Health Services (Morton Grove, IL)
- …is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices ... which can include assisting in any area of the pharmacy as directed by management Qualifications +...custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients… more
- The Cigna Group (Tampa, FL)
- …license, current. + Minimum of one year of experience in a retail pharmacy , Pharmacy Benefit Management ( PBM ) or Health Plan setting required. + ... in a call center. + 2+ years of experience in a retail pharmacy , Pharmacy Benefit Management ( PBM ) or Health Plan setting. + Certified Pharmacy … more
- Elevance Health (Columbus, OH)
- …disciplines within a national mail order or home delivery pharmacy model and a pharmacy benefit . management ( PBM ) firm. Deep understanding of overall ... staff for the VP of AHD. Coordinate with account management teams for CarelonRx PBM and Elevance... pharmacy benefit design and cost-to-fill measures -Experience with project and… more
- St. Joseph's Health (Paterson, NJ)
- …Qualifications + Bachelor's degree required, preferably with significant quantitative coursework. + Pharmacy Benefits Management ( PBM ) knowledge ... of education and experience which would provide an equivalent background. + Pharmacy Benefits Management Certified Technician (PBMCT) required within 90 days… more
- The Cigna Group (Chattanooga, TN)
- …financial impact. Our training program will allow you to gain in-depth knowledge of the Pharmacy Benefits Management ( PBM ) Industry and our specific ... in a fast-paced environment, starting your career within Evernorth's PBM Finance Underwriting team at The Cigna Group will...for all underwriting activities in supporting Sales and Account Management (SAM) for renewing and new sales clients. The… more
- US Tech Solutions (May, OK)
- …authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management ) required. + Since the ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- BrightSpring Health Services (Morton Grove, IL)
- … PBM Operations Support role performs a variety of tasks in support of the Pharmacy Benefit Management ( PBM ) department. This will include both daily ... independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM...begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint has grown… more
