- Molina Healthcare (Scottsdale, AZ)
- …with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager ( PBM ) for pharmacy contractually delegated functions. * Responsible for key performance ... indicators (KPI) reporting to department leadership on a monthly basis. * Participates, researches, and validates materials for both internal and external program audits. * Acts as liaison to internal and external customers to ensure prompt resolution of… more
- CVS Health (Phoenix, AZ)
- …Data Analysis skills **Preferred Qualifications** + Experience working within a PBM (Pharmacy Benefit Management) environment + Proven people leadership experience, ... including managing and developing teams + Experience with large data sets (Teradata, Google Cloud) and visual analytics tools (Power BI, Tableau) to draw actionable insights + Mastery of growth mindset (quick to develop your personal skills, and teams'… more
- CVS Health (Scottsdale, AZ)
- …GCP, AWS, Azure, AI and ML) **Preferred Qualifications** + Health Care and PBM background + AS400 / IBMi Series experience **Education** Bachelor's degree or ... equivalent work experience **Pay Range** The typical pay range for this role is: $118,450.00 - $260,590.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The… more
- BrightSpring Health Services (Scottsdale, AZ)
- …preferred. + Understanding drug reimbursement, Managed Care Medical Specialty and PBM drug benefits. + Exceptional probing and consultative communication skills. + ... Proficient in data entry, verbal skills, computer skills and the ability to learn the department's software system including CRM. About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on… more
- RxBenefits (Phoenix, AZ)
- …priorities and deadlines _Preferred Skills/Experience:_ + Knowledge of healthcare and PBM industry strongly preferred. _Based on relevant market data and other ... factors, the anticipated hiring range for this role is $111,200 - $132,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role… more
- Insight Global (Tempe, AZ)
- …Hour, First Call Resolution, Call Quality, Schedule Adherence, Attendance and Punctuality -Previous experience in the healthcare industry -Previous PBM experience ... This group will be apart of the healthcare company and must have experience in a high call volume call center. The role will receive ~80 inbound calls a day from customers, doctors, insurance providers, and more of the healthcare company to help with any… more
- CVS Health (Phoenix, AZ)
- …/ or Quality role + Experience in healthcare industry, including health insurance, PBM or pharmacy services + Experience in highly regulated industry and compliance ... environment + Experience with overly complex, inter-connected systems and business processes + Ability to work independently + Strong interpersonal and organizational skills + Strong written and verbal communication skills + Strong writing skills **Education**… more
- CVS Health (Phoenix, AZ)
- …years experience supporting Client Pricing Guarantees and Audits + 2+ years PBM experience **Preferred Qualifications** + Adept at execution and delivery (planning, ... delivering, and supporting) + Adept at problem solving and decision making + RxClaim knowledge + Effective communication skills - verbal and written **Education** + Bachelors Degree or equivalent experience is required **Anticipated Weekly Hours** 40 **Time… more
- CVS Health (Phoenix, AZ)
- …under tight deadlines + Strong mathematical problem-solving skills + Prior PBM Knowledge + Familiarity with wholesaler invoices **Education** Bachelor's Degree or ... equivalent experience required. **Pay Range** The typical pay range for this role is: $100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.… more