- WTW (Houston, TX)
- …approaches + Advising on the latest industry trends + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance (financial ... and operational) + Plan analysis, design, cost-savings and member engagement strategies + Strategy for effectively managing pharmacy benefits aligned with broader health care goals + Specialty drug management + Partner closely with the financial, actuarial and… more
- Prime Therapeutics (Austin, TX)
- …experience + Business Intelligence consulting experience, preferably leveraging AI + PBM experience or experience working with medical claims, pharmacy claims, ... five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM . We're reimagining pharmacy solutions to provide the care we would want for… more
- Prime Therapeutics (Austin, TX)
- …**Preferred Qualifications** + Previous leadership/people management experience + PBM /health care experience + Certified Compliance and Ethics Professional ... five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM . We're reimagining pharmacy solutions to provide the care we would want for… more
- CVS Health (Irving, TX)
- …and/or large-scale, highly visible arrangements simultaneously - Experience within the PBM , Retail and/or Healthcare Industries is preferred. - Experience in ... negotiating non-merchandise/indirect commodity purchases of goods and/or services deals/contracts is preferred - Experience with Ariba Contract Management or a similar contracts management system tool / platform is strongly preferred. - Ability to balance… more
- Molina Healthcare (Austin, TX)
- …with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager ( PBM ) for pharmacy contractually delegated functions. * Responsible for key performance ... indicators (KPI) reporting to department leadership on a monthly basis. * Participates, researches, and validates materials for both internal and external program audits. * Acts as liaison to internal and external customers to ensure prompt resolution of… more
- CVS Health (Austin, TX)
- …up to 25% **Preferred Qualifications** + Knowledge of Prescription Benefit Management ( PBM ) industry helpful but not required + Experience working with multiple ... intranet and extranet systems, CRM, or adjudication platforms (ie, Salesforce, Peoplesafe, AS400 system knowledge, etc.) **Education** + High School Diploma or GED required + Bachelor's Degree preferred **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- Health Care Service Corporation (Richardson, TX)
- …Senior Director will support HCSC's Medical and Pharmacy Benefit Integration, MTM, PBM , and pharmacy product initiatives. Primary focus on providing strategies that ... increase efficiency, improve outcomes and help manage drug spend. Required Job Qualifications: * Pharm D Pharmacist in the state of operations. * At least 4 years experience in managed care pharmaceuticals. * At least 4 years of managerial experience in the… more
- Elevance Health (Grand Prairie, TX)
- …process improvement training strongly preferred. + Healthcare experience preferred. + PBM experience preferred. + Exposure to pharmacy management systems preferred. ... Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance… more
- BrightSpring Health Services (Irving, TX)
- …preferred. + Understanding drug reimbursement, Managed Care Medical Specialty and PBM drug benefits. + Exceptional probing and consultative communication skills. + ... Proficient in data entry, verbal skills, computer skills and the ability to learn the department's software system including CRM. About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on… more
- CVS Health (Austin, TX)
- …Data Analysis skills **Preferred Qualifications** + Experience working within a PBM (Pharmacy Benefit Management) environment + Proven people leadership experience, ... including managing and developing teams + Experience with large data sets (Teradata, Google Cloud) and visual analytics tools (Power BI, Tableau) to draw actionable insights + Mastery of growth mindset (quick to develop your personal skills, and teams'… more