- CVS Health (Phoenix, AZ)
- …join it's CVS Health's leadership team as a Director, Pharmacy Benefit Management ( PBM ) Underwriting, Analysis and Strategy. In this role, you will lead a critical ... segment supporting a strategic PBM client division of CVS with responsibility for identifying...by: + Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D,… more
- CVS Health (Phoenix, AZ)
- …to inform product development and service improvements. + Maintain deep knowledge of PBM , healthcare, and technology trends to support client needs. + Assist in ... internal stakeholders. **Required Qualifications** + 7+ years of experience in PBM , healthcare, or technology consulting/client-facing roles. + 7+ years of… more
- CVS Health (Scottsdale, AZ)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within our Reporting Solutions team. CVS ... pharmacy claims data + Experience in healthcare industry, including health insurance, PBM or pharmacy services **Anticipated Weekly Hours** 40 **Time Type** Full… more
- CVS Health (Phoenix, AZ)
- …As a Senior Marketing Manager for the Caremark Brand and Content Strategy team, you will be addressing the needs of our clients and members by developing and ... executing a thought leadership strategy that delivers on our messaging pillars and drives our audience to engage digitally. Specifically, you will directly support the content ideation, development and distribution for the Caremark brand. The Senior Manager… more
- Actalent (Tempe, AZ)
- …criteria, and enter and document coverage determination request decisions into the PBM system. Additionally, you will notify providers and/or members, respond to ... client inquiries regarding authorization approvals and PBM online applications, and refer coverage determination requests for specialty drugs to delegated vendors or… more
- CVS Health (Scottsdale, AZ)
- …Summary** As a Senior Analyst, you will be part of the Client Services ( PBM ) Quality team. This team is engaged across multiple functions including the Testing ... RESTful APIs** , and **DevOps tools and methodologies** . Experience with ** PBM (Pharmacy Benefit Management)** systems is a significant plus. Familiarity with… more
- CVS Health (Scottsdale, AZ)
- …**Position Description** CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer. ... You will develop a deep understanding of PBM Finance data and business processes as you transform...organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong… more
- Actalent (Phoenix, AZ)
- …efficient communication between providers, members, and the pharmacy benefit management ( PBM ) system. Your key duties will include: + Monitoring and prioritizing ... determination requests based on defined criteria and entering decisions into the PBM system. + Notifying physicians, providers, and members of coverage determination… more
- Actalent (Phoenix, AZ)
- …criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries ... regarding authorization approvals and PBM online applications. + Refer coverage determination requests for...for some supervisory roles. + Experience in call center, PBM , hospital, or specialty pharmacy settings is advantageous. +… more
- Actalent (Tucson, AZ)
- …criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries ... regarding authorization approvals and PBM online applications. + Refer coverage determination requests for...for some supervisor roles. + Experience in call centers, PBM , hospitals, specialty pharmacy, or prescription benefits is advantageous.… more