- Novant Health (Winston Salem, NC)
- …The Pharmacy Benefits Specialist at Novant Health works closely with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and the ... Benefits Specialist assumes responsibility for: + Collaborating with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and People… more
- Sharp HealthCare (San Diego, CA)
- …for SSPS QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate ... **Facility:** Centralized Pharmacy **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time**… more
- WTW (NC)
- …innovative engagement design and approaches + Advising on the latest industry trends + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... be leveraged nationally. + Driving new relationships and sales + Materially grow pharmacy benefits revenue through serving as the pharmacy benefits … more
- WTW (New York, NY)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation ... cost-savings and member engagement strategies + Strategy for effectively managing pharmacy benefits aligned with broader health care goals + Specialty drug… more
- AmeriHealth Caritas (Philadelphia, PA)
- **PerformRx** is a Pharmacy Benefits Manager ( PBM ) dedicated to clinical culture, boutique service, and holistic solutions. Our mission is to help ... is **;required** + Minimum; **three (3) years** ;of current/recent ** PBM ** and/or current/recent ** pharmacy experience;required** **Available schedules (all… more
- Premera Blue Cross (Mountlake Terrace, WA)
- … and vendor oversight, utilization management, formulary etc. Stays abreast of managed care pharmacy , pharmacy benefits manager , and payer industry ... a strategic Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management, and other… more
- Elevance Health (Atlanta, GA)
- **Business Consultant - Pharmacy Benefit Management ( PBM )** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote ... of systems capabilities and business operations + Experience in Pharmacy Benefit Management ( PBM ) product management and...State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package,… more
- Elevance Health (Indianapolis, IN)
- **Senior Test Lead - Pharmacy Benefit Manager ( PBM )** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... member-centered, lasting pharmacy care. The **Senior Test Lead (Business Change Manager Senior)** will be responsible for working with management to identify and… more
- Elevance Health (Charleston, WV)
- **Test Analyst - Pharmacy Benefit Management ( PBM )** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy benefit management ( PBM ), including benefit administration,… more
- CVS Health (Northbrook, IL)
- …each and every day. **Position Summary** CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic capability, ... and enhanced client satisfaction. We are looking for a PBM Client Reporting Product Manager to help...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Northbrook, IL)
- …each and every day. **Position Summary** CVS Health is working to transform Pharmacy Benefit Management ( PBM ) Client Reporting into a strategic capability, ... and enhanced client satisfaction. We are looking for a PBM Client Reporting Product Manager to own...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Elevance Health (Atlanta, GA)
- …clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Account Service Manager ** is responsible for providing advanced customer ... ** PBM Account Service Manager ** **Location** :...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan, life insurance, wellness… more
- Elevance Health (Indianapolis, IN)
- …rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager or health plan strongly preferred. + Experience ... ** PBM Formulary Analyst ll** **Location** : This position...data files and other general reporting tools preferred. + Pharmacy technician license and/or experience preferred. + Experience working… more
- Elevance Health (Indianapolis, IN)
- …supporting systems and procedures and identifying improvements strongly preferred. + Pharmacy / PBM experience preferred + Operational issue management experience ... ** Pharmacy Benefit Management Process Expert Sr** **Location** :...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan, life insurance, wellness… more
- Mount Sinai Health System (New York, NY)
- …Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , Pharmacy Benefits and works jointly under the direction of the WTCH ... medical leadership. The Clinical Pharmacy Manager will have direct patient care...PBM + Acts as the liaison between the pharmacy benefits plan and the patients to… more
- CVS Health (Scottsdale, AZ)
- …make health care more personal, convenient and affordable. **Position Summary** Join our dynamic Pharmacy Audit group as the Senior Manager of Pharmacy Post ... pharmacies, and prepare internal post-audit reports. As the Senior Manager , you will oversee processes to track, monitor, and...in Scottsdale, AZ.** **Required Qualifications** + 7+ years of PBM , audit, or pharmacy experience + Licensed… more
- HUB International (Houston, TX)
- … consultants + 3+ years of financial, clinical or strategic advising in the pharmacy benefit manager ( PBM ) marketplace with established relationships with ... and Client Management teams. This role acts as the pharmacy benefits subject matter expert; providing deep...PBM 's and other appropriate pharmacy vendors + Comprehensive knowledge of both current and… more
- CVS Health (Phoenix, AZ)
- …completion of project workstreams to support all activities of determined pharmacy network disruption, including but not limited to: defining network disruption ... resources if deemed essential. Coordinates and utilizes all necessary pharmacy network data and analytics to support a project...+ 3+ years project leadership and management experience + PBM experience preferred. + Adept at project execution and… more
- Mount Sinai Health System (New York, NY)
- …health care related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional ... Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager ... pharmacy Non-Bargaining Unit, 203 - HSO PHARMACY BENEFITS MANAGEMENT - MSH, Mount Sinai… more
- Apex Health Solutions (Houston, TX)
- …process of the client's pharmacy programs and its delegated vendors such as the Pharmacy Benefit Manager ( PBM ) in accordance with all federal and state ... the development, coordination, and maintenance of the health plan's pharmacy benefits and services. The Pharmacy... pharmacy tech in a retail or community pharmacy setting, health plan, HMO, PBM and/or… more