- CVS Health (Phoenix, AZ)
- …compassionate. And we do it all with heart, each and every day. The PBM is currently looking for an energetic individual to join our Government Oversight ... support strategies, work, and deliverables related to regulatory oversight and exams of PBM network activities that are being performed by regulatory bodies, such as… more
- Prime Therapeutics (Phoenix, AZ)
- …where the position is located + 8 years of work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology ... development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction through leading… more
- Prime Therapeutics (Phoenix, AZ)
- …State where the candidate resides + 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be ... advisory boards + Other duties as assigned **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist… more
- Norstella (Phoenix, AZ)
- …to our Data Operations, Product and Client Managementteams. This role acts as the pharmacy and medical policy subject matter expert; providing deep knowledge of the ... pharmacy and medical benefit space and a level of...with our internal platforms along with various partners and PBM 's decision support tools to justify the election of… more
- CenterWell (Phoenix, AZ)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... used for prioritization purposes + Analyze data related to pharmacy trends and collaborating with internal partners and the...**Required Qualifications** + 3 - 5 years' experience with PBM operations + 3 - 5 years managing large… more
- Prime Therapeutics (Phoenix, AZ)
- …and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. ... experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare,… more
- Prime Therapeutics (Phoenix, AZ)
- …visa or residency sponsorship **Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to ... Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with...Experience engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy… more
- Prime Therapeutics (Phoenix, AZ)
- …upon business needs + Other duties as assigned. **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree + 1 years of ... license in good standing with the State Board of Pharmacy in the State where the position is located....**Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification… more
- Prime Therapeutics (Phoenix, AZ)
- …+ Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and implementation, ... Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other duties as assigned **Minimum Qualifications** + PharmD or… more
- CVS Health (Phoenix, AZ)
- …a team that is responsible for quality assurance reviews of our client and pharmacy pricing execution of network and mail pricing for CVS Health, a Fortune Company. ... Your role covers all delivery systems and adjudication platforms related to pharmacy claims adjudication. You will inspect the correct application of business rules,… more