- Elevance Health (Columbus, OH)
- …experience) would be a plus. + 5+ years of experience leading and managing Pharmacy Benefit Manager / PBM end-to-end testing for web and mainframe-based ... CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control...work here will be Test Program Management for our pharmacy business system integrations. **Location:** This position will work… more
- WTW (Short Hills, NJ)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits ... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment, Rx division of...manager environment, Rx division of a health plan, PBM + Proven experience creating project plans and execution… more
- Mount Sinai Health System (New York, NY)
- …(CCE) in the NY/NJ region. MSHS, World Trade Center Health Program (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager , Pharmacy ... the direction of the WTCH medical leadership. The Clinical Pharmacy Manager will have direct patient care...leadership. All responsibilities are accomplished in collaboration with the pharmacy leadership team under the direction of Senior… 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 ... a strong focus on member experience. Conducts outreach to Pharmacy Benefit Manager ( PBM ) for...oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited… more
- WTW (Portland, OR)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits ... capital. You will position yourself to grow into a senior relationship management and/or leadership role by serving as... benefit plans gained in a consulting, brokerage or carrier/ pharmacy benefit manager environment + Proven experience… more
- CVS Health (New York, NY)
- …& Behavior Change"), you'll have the opportunity to drive the next level of PBM ( Pharmacy Benefit Manager ) member experience and service quality at ... aspiring analytical enthusiasts to drive efficiency and growth in Caremark's PBM business, using advanced analytics, predictive modeling, and statistics. We expect… more
- HCA Healthcare (Nashville, TN)
- …or other advance degree a plus. + Minimum 7+ years of experience with a pharmacy benefit manager and/or a large employee benefit consulting firm with a focus ... on pharmacy benefit and/or a senior benefit professional...Registered pharmacist a plus + Advanced knowledge of employee pharmacy benefits, PBM industry, and PBM… more
- Point32Health (Canton, MA)
- …include, but are not limited to: a) strategy, negotiation, and administration of PBM ( Pharmacy Benefit Manager ), specialty pharmacy , medical ... strategy. **Key** **Responsibilities/Duties** **- what you will be doing** ** PBM , Specialty Pharmacy and Medical Rebate...pharmacy program + Collaborate with key stakeholders and senior leadership over the course of evaluation of new… more
- CareFirst (Owings Mills, MD)
- …the Maryland office. This could be a few times per week.** **PURPOSE:** The Senior Pharmacy Business Consultant provides pharmacy expertise in tailored, ... operations and/or consulting experience. + Pharmacy managed care and/or Pharmacy Benefit Manager experience is preferred. + Strategy experience preferred… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- …at least one of the following areas: hospital operations, pharmacy operations, pharmacy benefit manager ( PBM ), retail pharmacy , and/or pharmaceutical ... **Job Purpose Statement:** The Senior Pharmacy Compliance Analyst (SPCA) is responsible for the review and evaluation of healthcare regulatory compliance… more
- The Cigna Group (Bloomfield, CT)
- The Product Manager on the Pharmacy Clinical Strategy team will be the responsible for leading the development and launch of new products and product ... clinical programs, formulary, and/or utilization management offerings. This Product Manager will work closely with pharmacy product...or equivalent work experience + MBA (or equivalent in PBM experience) a plus + 8+ years' experience in… more
- HCA Healthcare (Nashville, TN)
- …Masters or Doctorate preferred + 7 years minimum of previous experience in pharmacy benefits, PBM service HR consulting, business development, sales operations ... yet take direction and articulate point of view + Key attributes of pharmacy benefits (plan design, formulary, PBM administrative/operations) + Must be willing… more
- WTW (New York, NY)
- …and sales + Designing and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + ... **Description** As a Senior Pharmacy Director, you will contribute to new strategic and innovative directions for our pharmacy business while leading large,… more
- State of Indiana (Indianapolis, IN)
- …drugs and improve member health outcomes. You will manage the State's contracted Fee-for-Service Pharmacy Benefits Manager ( PBM ) as well as oversee the ... operations, including integration of managed care and fee-for-service pharmacy benefits. + Serve as the senior ...fee-for-service pharmacy benefits. + Serve as the senior executive responsible for pharmacy -related services, such… more
- CVS Health (Springfield, IL)
- …& Behavior Change"), you'll have the opportunity to drive the next level of PBM ( Pharmacy Benefit Manager ) member experience and service quality at ... a leading national healthcare brand. PBM Analytics is one of the key teams within...learning, and artificial intelligence in healthcare applications. + Advises senior leadership and stakeholders on data-driven strategies and solutions,… more
- BeiGene (Emeryville, CA)
- …stakeholders including payers, GPO (community practice / hospital), PBM 's, and specialty pharmacy . This role reports to the Senior Director of US Pricing, ... **General** **Description:** **The Senior Manager , Pricing & Contracting will...pricing and core contracting analytics, including financial modeling for Payer/ PBM , Oncology GPOs, and IDNs, assessing the impact of… more
- The Cigna Group (Bloomfield, CT)
- …have experience in managing client facing products, broad-based knowledge of Regulated Markets/ Pharmacy Benefit Manager ( PBM ) operations, experience leading ... **Job Summary:** + Lead a team of Senior Advisors and Advisors responsible for the development...relevant field, such as Business Management, Healthcare Administration or Pharmacy + 5+ years of experience in product management… more
- The Cigna Group (Bloomfield, CT)
- …Affordability (MCA) segment of Enterprise Portfolio. As an experienced people leader, this Senior Manager will guide a team of business project managers across ... of the MCA portfolio, enabling the strategy prioritized by executive leadership. The Senior Manager will be working with Business Areas, Operations, Technology… more
- CVS Health (Cumberland, RI)
- …projects in addition to cross-training with and acting as the backup to the Senior Manager and Manager of PBM Accounting. The ideal candidate will have a ... CVS office locations may be considered **Position Summary** The Manager of PBM Accounting will assist the...journal entries, account reconciliations, and analysis of results for pharmacy channels within PBM Accounting. * … 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 ... strategic initiatives and market development. The Medicare Client Strategy Senior Manager plays a critical role in...years of related experience + Strong knowledge of the PBM industry and Government Regulated Programs such as Medicare,… more