- Elevance Health (Smithfield, RI)
- …location. The ** Compliance Manager ** is responsible for coordinating pharmacy compliance activities and initiatives across the PBM and the enterprise by ... maintaining department-approved regulatory and legislative compliance plan and implementing effective internal controls. **How You Will Make an Impact** Primary… more
- CVS Health (Cumberland, RI)
- …agencies and their contracted auditing organizations. As a Senior Manager , PBM Market Conduct Exam Support within Corporate Compliance , you will: + ... and two days from home per week The Corporate Compliance PBM Business Compliance Office...dynamic individual to join our team in a Senior Manager role. This position will perform highly complex support… more
- CVS Health (Woonsocket, RI)
- …team, as well as Payer Relations Directors. As the Pharmacy Analytics and Contract Compliance Manager , you will play a key role in providing senior management ... levels of the organization. The Pharmacy Analytics and Contract Compliance Manager is responsible for several financial,...Payer Relations Directors and other Pharmacy Analytics and Contract Compliance Analysts on PBM compliance … more
- CVS Health (Cumberland, RI)
- …and further democratize the data within the organization. You will report to the Sr. Manager of PBM Finance Business Intelligence , Analytics , and Automation . ... affordable. Position Description CVS Health offers an exciting opportunity to join our PBM Finance Enablement team , as a Senior Automation Engineer , Intelligent… more
- CVS Health (Woonsocket, RI)
- …development, and implementation of the health services programs offered to PBM clients. In collaboration with the broader Care Management organization, we ... cost, better outcomes, and better consumer experience. The Product Development Manager will be responsible for providing innovative insights and next-gen analysis… more
- Wolters Kluwer (Providence, RI)
- …Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager ** **- Commercial Drug Information** role for **Medi-Span** represents the voice ... matter experts, engineering and sales to define segment-specific (eg Payer, PBM , Life Sciences, etc.) product strategies + Curate relationships with customers… more
- CVS Health (Woonsocket, RI)
- …and other HR Shared Services Centers of Excellence), Corporate Communications, Legal, Compliance , and Business Operations. Additionally, you may act as a liaison ... Management Certification- PHR/SPHR or other professionally recognized HR certifications- PBM Business Operations knowledge EducationBachelors degree in Business or… more
- Prime Therapeutics (Providence, RI)
- …Consultant, Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance , Clinical Review, ... and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + Experience using queries + Experience with Medicare… more
- Prime Therapeutics (Providence, RI)
- …sponsorship **Additional Qualifications** + Knowledgeable of health literacy guidelines and compliance requirements for the PBM /pharmacy industry + Proficient in ... practices, Associate Press style, organizational copy style guidelines and compliance standards. **Responsibilities** + Write, edit and make copy recommendations… more
- Prime Therapeutics (Providence, RI)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... and the strategic plan of the client, ensuring contract compliance and measurement of key deliverables + Establish key...meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and… more