- Humana (Austin, TX)
- …health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy , managed care, PBM , market and regulatory insights to develop, ... Humana's Medicare line of business. + Utilizes broad understanding of pharmacy , managed care, PBM , market and regulatory insights to support the development of… more
- Prime Therapeutics (Austin, TX)
- …in pricing or financial analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field. + ... and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and...in a dimensional data warehouse + Previous experience in PBM / health care industry Every employee must understand,… more
- Prime Therapeutics (Austin, TX)
- …or GED is required + 8 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated industry; including ... teams. **Responsibilities** + Negotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, specialty and… more
- Prime Therapeutics (Austin, TX)
- …+ Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy and/or PBM experience + 1 year of experience in ... healthcare industry + Experience working with highly confidential medical information + CPhT certification + Fluency in another language (Spanish) **Physical Demands** + Ability to sit 6 or more hours per day + Occasionally required to stand, walk and stoop,… more
- Deloitte (Fort Worth, TX)
- …for specific projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + ... governments. We are specifically interested in consultants with deep pharmacy benefits experience as well as general health and...US health/welfare benefits. + 3+ years of experience in PBM RFPs + 2+ years of underwriting experience beyond… more
- CVS Health (Irving, TX)
- …all we do. The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager ( PBM ). Implementations Managers play a critical role in ... lines of business and implementing plan changes. Given the complexities of todays PBM landscape, setting up a new client involves managing financial, product, and… more
- Prime Therapeutics (Austin, TX)
- …in pricing or financial analysis to include 1 year of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field + ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness… more
- Actalent (Dallas, TX)
- We are hiring for a REMOTE Pharmacy Technician ASAP! Job Description: As a Pharmacy Technician, you will track and triage coverage determination requests ... criteria, and enter and document coverage determination request decisions into the PBM system. Additionally, you will notify providers and/or members, respond to… more
- Prime Therapeutics (Austin, TX)
- …GED is required + 10 years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy strategies and all related partner/customer relationships. This position is… more
- CVS Health (Irving, TX)
- …Experience with: + Healthcare and pharmacy processes and workflows + Pharmacy Benefit Management ( PBM ) processes and workflows + Translating between ... Summary** As a Senior Manager of Business Architecture at CVS Health's PBM Caremark division, your pivotal role involves leading strategic initiatives aimed at… more