- 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 + ... + Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Actalent (Dallas, TX)
- We are hiring for a 100% REMOTE Pharmacy Technician ASAP! Leading healthcare company is looking for a certified pharmacy technician to join their team! REMOTE ... managed care + Gain experience working with Medicare REQUIREMENTS: + California pharmacy technician license OR national pharmacy technician license + Ability… more
- Actalent (Houston, TX)
- 100% Remote Pharmacy Technician Job Description We are seeking a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services ... criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. + Respond to client inquiries… more
- MD Anderson Cancer Center (Houston, TX)
- …business service including Hospital/Health System Retail, Specialty and Specialty pharmacy accreditation, Patient Resource specialists, PBM enrollment and ... students, trainees, professionals, employees and the public. *Associate Director - Pharmacy - Outpatient Operations* The Associate Director position is over a… more
- Elevance Health (Grand Prairie, TX)
- ** Pharmacy Technician III Dispensing** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new ... technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. **Location** **Hybrid 1:** This role requires associates to be… more
- Humana (Austin, TX)
- …strategies for the Medicaid line of business. + Utilizes broad understanding of pharmacy , managed care, PBM , market and regulatory insights to support the ... 3+ years of experience in managed care or other pharmacy related field + 3+ years of experience of...+ Knowledge of Medicaid business as it relates to pharmacy or medical drugs + Experience in finance and/or… more
- Deloitte (Dallas, TX)
- …2025. Work you'll do + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter expertise on the pharmacy landscape, ... and cost drivers + Work directly with medical and PBM vendors to analyze the program offering and cost...negotiation, and analyzing financial terms for both medical and pharmacy + Prepare financial projections and rate development +… more
- US Tech Solutions (TX)
- …Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required ... and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital preferred. + Appropriate state license… more
- Prime Therapeutics (Austin, TX)
- …or GED is required + 5 years of work experience responding to proposals to include Pharmacy Benefit Management ( PBM ) experience + Must be eligible to work in the ... + Collaborate with client proposal teams to create Through the Blue pharmacy proposals and maintain client-specific resources + Partner with Legal and stakeholders… more
- CVS Health (Austin, TX)
- …This Senior Analyst position supports financial planning & analysis within CVS Health's Pharmacy Benefits Management segment ( PBM ). This role is a member of ... the PBM 's Network/Retail Finance team and will work with other PBM finance teams in order to support financial best practices. The Senior Analyst's primary… more