- CVS Health (Austin, TX)
- …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
- Elevance Health (Grand Prairie, TX)
- ** PBM Compliance Manager (Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... employment, unless an accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance… more
- Elevance Health (Grand Prairie, TX)
- **Pharmacy Benefits Manager** **( PBM ) Pricing Strategy Analyst, Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** PBM Pricing Strategy Analyst, Senior** is responsible for Administrative...of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and… more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.… more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.… more
- CVS Health (Irving, TX)
- …years of contract experience required with a preferred knowledge of PBM business/operations. + Experience in redlining documents. **Preferred Qualifications** + ... Demonstrated ability to manage and organize projects from start to completion + Prior contracting experience in healthcare and knowledge on contracting terminology + Proficiency in Microsoft Word + Proficiency in Microsoft Excel + Ability to work independently… more
- Actalent (Houston, TX)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit ... exceptions, and more). You will complete these reviews independently amongst a team of your peers and other pharmacy professionals. Performance is measured by monthly quality and productivity goals. All new pharmacistsare considered as potential long-term… more
- CVS Health (Austin, TX)
- …analyzing drug utilization patterns and trends for our Pharmacy Benefit Management ( PBM ) clients. - Leveraging your presentation skills by delivering quarterly and ... CVS Health for long term growth in the competitive PBM marketplace. This position has the ability to work...& presentation skills are required. - Demonstrated experience supporting PBM or health plan clients. - Demonstrated understanding of… more
- CVS Health (Austin, TX)
- …(AE) for CVS Health, you will serve as the senior level liaison for PBM clients. This is an excellent opportunity to interface with Leadership both internally and ... key factor in your success. Your understanding of the PBM and managed care environment as well as keeping...position CVS Health for long-term growth in the competitive PBM marketplace. The ideal candidate will reside in Texas… more
- CVS Health (Austin, TX)
- …heart, each and every day. **Position Summary** CVS/Caremark, the Pharmacy Benefit Management ( PBM ) division of CVS Health, is looking for an Eligibility Analyst to ... background + Experience in EDI (Electronic Data Interchange) + Understanding of the PBM industry + Familiarity with RxClaim and/or AS400 + Pharmacy technician or… more