- Deloitte (Tallahassee, FL)
- …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... Pharmacy Benefit Manager /Health & Group Benefits Senior Consultant Human CapitalOur...US health/welfare benefits. + 3+ years of experience in PBM RFPs + 2+ years of underwriting experience beyond… more
- WTW (Tampa, FL)
- …benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM ... 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
- Molina Healthcare (St. Petersburg, FL)
- …leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager ( PBM ) for pharmacy contractually delegated functions. + Responsible ... and service representative job applicants and provides hiring recommendations to Manager or Director. + Provides coaching for the technicians and representatives… more
- Prime Therapeutics (Tallahassee, FL)
- …management experience in a technology function or similar area for a Pharmacy Benefit Manager ( PBM ), health plan, or managed care organization + Must be eligible ... scalable, enterprise-grade platforms and solutions + Strong understanding of PBM , healthcare and pharmaceutical ecosystem, including digital health trends and… more
- WTW (Tampa, FL)
- …+ Designing and executing on innovative engagement design and approaches + 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 + Materially grow pharmacy… more
- Highmark Health (Tallahassee, FL)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …(DTRR) + CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager ( PBM ) + Monthly MMR, PWR, LIS History and LEP Reconciliation + ... Daily OHI/COB Rejections + Monthly review and preparation of the CMS Enrollment Data Validation file and submissions All Functions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide by all regulations,… more
- Prime Therapeutics (Tallahassee, FL)
- …plan objectives **Preferred Qualifications** + 3 years of experience as an Underwriting Manager with PBM experience **Physical Demands** + Constantly required to ... sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move… more
- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Underwriting - REMOTE **Job Description** The Manager of Underwriting is ... performance guarantees, competitive pricing tactics, and other financial considerations. The Manager is also responsible for maintaining and applying knowledge of… more
- Elevance Health (FL)
- **CarelonRX Account Manager II** **Location:** **This field-based role enables associates to primarily** **operate** **in the field, traveling to client sites or ... lens, to deliver member-centered, lasting pharmacy care. The **CarelonRx Account Manager II** is responsible for retention and operational excellence that… more