- Elevance Health (Mason, OH)
- ** PBM Pricing Strategy Analyst Manager - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Pricing Strategy Analyst Manager ** will be responsible for Pharmacy… more
- CVS Health (Columbus, OH)
- …every day. This position requires the ability to travel up to 40% **Position Summary** The Manager , Compliance COE will be a key member of the Compliance ... + 5+ years of experience in relevant fields such as PBM , managed care, healthcare, market conduct exams, compliance , or audit. + Ability to travel up to 40% by… more
- Deloitte (Dayton, OH)
- …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... Pharmacy Benefit Manager /Health & Group Benefits Senior Consultant Human CapitalOur...clients on industry trends, best practices, regulatory updates, and compliance deadlines. + Evaluate vendors by reviewing services, contracts,… more
- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Sr. Functional Bus Consultant ( Compliance ) - Remote **Job Description** The Senior Functional Business Consultant The ... Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a high level of understanding of… more
- Elevance Health (Mason, OH)
- …and PBM regulatory reporting highly preferred. + Previous pharmacy compliance and regulatory knowledge highly preferred. + Understanding of Pharmacy Benefit ... documentation, and related reporting to support pharmacy regulatory and compliance requests. In addition, this position will ensure the...Manager ( PBM ) fundamentals highly preferred. + Ability… more
- Elevance Health (Mason, OH)
- …patient care outcomes, enhancing service delivery, and ensuring regulatory compliance . Functions that this role oversees include case management, prescription ... strategies to ensure affordability, generic utilization, and medication adherence in compliance with contract language and state/federal regulations. + Oversee a… more
- Prime Therapeutics (Columbus, OH)
- …management experience in a technology function or similar area for a Pharmacy Benefit Manager ( PBM ), health plan, or managed care organization + Must be eligible ... scalable, enterprise-grade platforms and solutions + Strong understanding of PBM , healthcare and pharmaceutical ecosystem, including digital health trends and… more
- Prime Therapeutics (Columbus, OH)
- …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
- Highmark Health (Columbus, OH)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to… more
- Prime Therapeutics (Columbus, OH)
- …comparisons **Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in ... PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this… more