- 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 management and pharmacist QA reviewer. + Medication AdjudicationWorks collaboratively with the pharmacy benefits manager ( PBM 's) to ensure ... **Facility:** Centralized Pharmacy **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified… 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 (Newtown Square, PA)
- …internal pharmacy therapeutic committee and work closely with the Directors of Pharmacy , pharmacy benefits manager ( PBM ), and the State's PBM ... integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.… more
- Veterans Affairs, Veterans Health Administration (Stockton, CA)
- …to the provider as appropriate. Supports effective drug usage criteria approved by the national VHA PBM ( pharmacy benefits manager ), VISN PBM and ... pharmaceutical care and will document the pharmaceutical care plan in the pharmacy initial assessment or progress note. Completes and documents medication history… more
- CVS Health (Carson City, NV)
- …Service Warranties **For this role you will need Minimum Requirements** + 5+ years pharmacy , PBM , and/or insurance work experience + Basic awareness of problem ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- CVS Health (Irving, TX)
- …care more personal, convenient and affordable. **Position Summary** Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the ... + 5+ years of healthcare experience, preferably in the Pharmacy Benefit Managers ( PBM ). + Ability to...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Prime Therapeutics (Atlanta, GA)
- …on analyzing, drafting, redlining and negotiating contracts on behalf of a Pharmacy Benefit Management ( PBM ) organization or another organization within the ... and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description**...adjust focus **Reporting Structure** + Reports to Supervisor or Manager in the Network Management department or Pharm Trade… 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
- Medical Mutual of Ohio (OH)
- …other quality initiatives, with a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for refills, claim reprocessing and ... programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits , with a strong focus on...a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for… more
- CVS Health (Scottsdale, AZ)
- …a team of 10 auditors. This role is pivotal in conducting and building Medicare Pharmacy Audit programs for our PBM clients. The ideal candidate will be ... the unique needs of our clients. As the Senior Manager , you will be responsible for developing and implementing... PBM clients. **Required Qualifications** -7+ years of PBM , audit, or pharmacy experience **Preferred Qualifications**… 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
- CVS Health (Scottsdale, AZ)
- …make health care more personal, convenient and affordable. **Position Summary** As a Pharmacy Audit Senior Manager , you will lead a dynamic, multifaceted ... highlight audit efforts. **Required Qualifications** + 7+ years of PBM , audit, or pharmacy experience + 7+...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Healthfirst (NY)
- …of Medicare Pharmacy benefits and PDE accuracy in collaboration with out Pharmacy Benefit Manager ( PBM ) + Monitors and analyzes key data and ... + Communicate to leadership + Performs regulatory monitoring Medicare Pharmacy benefits operations + Maintain compliance with...to build simple queries + Experience working with a Pharmacy Benefit Manager ( PBM ) within… more
- Amazon (Seattle, WA)
- …Finance team works with the business team to make this vision a reality. Our Pharmacy Finance team is seeking a Finance Manager to support the Payer Relationship ... Provider Partners. This position offers a unique opportunity to work closely with Pharmacy leadership, including responsibility for PBM ( Pharmacy Benefit… more
- Point32Health (Canton, MA)
- …to: Total Cost of Care and Affordability of Care Corporate and division priorities. PBM ( Pharmacy Benefit Manager ) migration, Pharmacy integration, ... members, partners, colleagues and communities. **Job Summary** The Sr Pharmacy Program Manager supports the development and...eligible for variable pay. Eligibility for any bonus, commission, benefits , or any other form of compensation and … more
- HUB International (New York, NY)
- …preferred + 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
- Deloitte (Los Angeles, CA)
- …career in Deloitte's Human Capital practice. Work you'll do + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter ... and cost drivers + Work directly with medical and PBM vendors to analyze the program offering and cost...cost management solutions + Own the process of preparing benefits plan design and pricing studies + Implement competitive… more
- Amazon (Austin, TX)
- Description About Us: At Amazon Pharmacy , we believe that by removing and reducing the barriers that prevent people from taking their medications, we can help ... mission and position ourselves in becoming the world's safest and fastest online pharmacy . The Role: We seek a Principal Business Development leader to drive growth… 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