- WTW (Tampa, FL)
- …plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance ... understanding of the pharmacy benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a benefits consultant + A… more
- Prime Therapeutics (Tallahassee, FL)
- …develops and applies advanced knowledge of pricing strategies in the PBM industry; provides underwriting services to determine pricing and monitors accounts ... in Finance or Accounting, including 3 years in the PBM industry + Must be eligible to work in...Qualifications** + 5 years of finance experience in the PBM industry + Progressive underwriting experience **Physical Demands** +… more
- Prime Therapeutics (Tallahassee, FL)
- …experience in a technology function or similar area for a Pharmacy Benefit Manager ( PBM ), health plan, or managed care organization + Must be eligible to work in ... scalable, enterprise-grade platforms and solutions + Strong understanding of PBM , healthcare and pharmaceutical ecosystem, including digital health trends and… more
- Actalent (Orlando, FL)
- …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 specialty drugs to a delegated vendor or client for… more
- Actalent (Jacksonville, FL)
- …and guidelines. + Accurately document decisions in the Pharmacy Benefit Management ( PBM ) system and communicate outcomes to providers or members. + Address client ... inquiries related to authorization decisions and PBM system usage. + Refer specialty drug requests to designated vendors or clients for further processing. + Contact… more
- CenterWell (Tallahassee, FL)
- …Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement drug strategies ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of Medicaid formulary… more
- CVS Health (Tallahassee, FL)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy ... pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM or pharmacy services. **Education** + Bachelor's degree or equivalent work… more
- Prime Therapeutics (Tallahassee, FL)
- …for maintaining and applying knowledge of pricing strategies in the PBM industry. **Responsibilities** + Oversees and coordinates workflow for the existing ... + 2 years of experience as a Senior Underwriter or Benefits Consultant + PBM experience **Physical Demands** + Constantly required to sit, use hands to handle or… more
- Humana (Tallahassee, FL)
- …Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement formulary strategies ... line of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of formulary strategies… more
- Prime Therapeutics (Tallahassee, FL)
- …+ 8 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated industry; including 5 years of managed ... network fee schedule management + 2 years of experience in specialty contracting + PBM or Healthcare experience **Physical Demands** + Ability to travel up to 15% of… more