- Amazon (Austin, TX)
- …representing Amazon pharmacy with key relationships for Pharmacy Benefit Managers ( PBM 's), Manage Care Organizations (MCO's) Health Insurers (Health Plans, and ... Basic Qualifications - 10+ yrs overall experience preferably in PBM , health insurance, pharmacy, business development, marketing, managed care, Medicaid,… more
- WTW (Houston, TX)
- …benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance ... (financial and operational) + Strategy for Specialty pharmacy products + Evaluation of onsite pharmacies at client locations + Serve as lead day to day contact for clients; materially contribute to project plan creation and lead the team on delivery; ensure… more
- Prime Therapeutics (Austin, TX)
- …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
- Actalent (Missouri City, TX)
- …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
- Baylor Scott & White Health (Dallas, TX)
- …and experience in healthcare or managed care operations, prescription benefit management ( PBM ) and/or business processes + Experience in business or quality testing ... and the ability to make effective business conclusions + Able to identify, document and help implementation of efficient business solutions + Proficient with PC-based systems including: Microsoft Excel, Access, PowerPoint, and the ability to learn new… more
- Actalent (Austin, TX)
- …Pharmacy Technician license (required) + Previous experience in a managed care, PBM , or clinical pharmacy setting preferred + Strong communication skills and ... attention to detail + Comfortable working independently in a remote environment + Reliable internet connection and secure workspace Schedule & Pay + Full-time, Monday-Friday + $19/hour + Remote (license required; must reside in the US) Why This Role? This is a… more
- MD Anderson Cancer Center (Houston, TX)
- …System Retail, Specialty and Specialty pharmacy accreditation, Patient Resource specialists, PBM enrollment and programming such as Vaccine Clinic and Meds to ... Beds delivery. *Key Functions* *Operations: 45%* 1. Leads the development and implementation of administrative processes to maximize operational efficiency and quality outcomes. Applies effective project management skills to meet timelines, service levels, and… more
- Prime Therapeutics (Austin, TX)
- …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
- Elevance Health (Grand Prairie, TX)
- …+ Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience; or any combination of education ... and experience, which would provide an equivalent background. + Requires a registered pharmacist. + Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh). **Preferred Skills, Capabilities, and Experiences:** +… more
- Elevance Health (Grand Prairie, TX)
- …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