- 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
- CVS Health (Irving, TX)
- …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 (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
- CVS Health (Austin, TX)
- …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 (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
- Actalent (Dallas, TX)
- …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 (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)
- …supports financial planning & analysis within CVS Health's Pharmacy Benefits Management segment ( PBM ). This role is a member of the PBM 's Network/Retail Finance ... team and will work with other PBM finance teams in order to support financial best practices. The Senior Analyst's primary responsibilities include: + Conducting… more
- Actalent (Dallas, TX)
- …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 (San Antonio, TX)
- …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