- Humana (Phoenix, AZ)
- …line of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the implementation of formulary and ... medical strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs. + Performs formulary and medical drug list analysis and reporting that assist in the decision making of Medicaid drug strategies. + Works across… more
- TEKsystems (Tempe, AZ)
- …and problem-solving skills + Experience in healthcare, pharmacy, or PBM environments preferred Assessment Requirements: Candidates must complete the following ... IKM assessments: + Typing Test - One Space Version (1 min): Minimum 30 WPM + Call Center - Telephone Skills: Minimum score of 75% Experience Level: Entry Level - Ideal for candidates looking to grow within the healthcare customer service field. If you're… more
- Prime Therapeutics (Phoenix, AZ)
- …skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification + Decision ... support tool experience (eg, order sets) Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and… more
- Prime Therapeutics (Phoenix, AZ)
- …Provide tactical legal advice and support to internal clients including PBM , pharmacy, specialty pharmacy, government programs, administrative support functions or ... other areas as assigned + Perform research, drafting and transactional work in support of legal matters; may manage litigation efforts for assigned business area + Advise internal clients regarding compliance with regulatory requirements and corporate… more
- Actalent (Phoenix, AZ)
- …Proficiency in Microsoft Office and Outlook. + Experience in call centers, PBM , hospital, or specialty pharmacy settings. Work Environment We are seeking candidates ... who thrive in a structured remote work setting. This role involves multitasking across multiple screens and systems, so strong technical proficiency and attention to detail are essential. Work Requirements: + A reliable high-speed WiFi connection + A dedicated… more
- Elevance Health (Tucson, AZ)
- …and Experiences:** + National CPhT certification highly preferred. + Experience with PBM /Plan insurance setup, including but not limited to the processing of claims ... adjudication and resolution of reject messaging strongly preferred. + Experience in dispensing pharmacy setting preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance… more
- Prime Therapeutics (Phoenix, AZ)
- …with regulatory compliance requirements (HIPAA and/or PCI) + Previous experience in PBM / health care industry + Strong experience with software development life ... cycle and project management principles + In-depth knowledge of two or more architectural domains (application, infrastructure, integration, and/or security + Master's degree in Computer Science or related area of study, or equivalent combination of education… more
- Prime Therapeutics (Phoenix, AZ)
- …degree or other advanced degree + 3 years of Pharmacy Benefit Management ( PBM ) experience Every employee must understand, comply with and attest to the security ... responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if… more
- Prime Therapeutics (Phoenix, AZ)
- …with FinOps practices and frameworks. + Familiarity with healthcare or PBM industry. + Leadership or team management experience. + **Scripting/querying** : ... SQL, Python, or Shell for cost analysis and automation + **Cloud cost management tools** : AWS Cost Explorer, GCP Cost Management, Cloud Health, Cloud ability **Physical Demands** + Constantly required to sit, use hands to handle or feel, talk and hear +… more
- Insight Global (Tempe, AZ)
- …Adherence, Attendance and Punctuality -Previous experience in the healthcare industry -Previous PBM experience null We are a company committed to creating diverse ... and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment… more