- Prime Therapeutics (Austin, TX)
- …decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of Actuarial Forecasting leads a team ... recommending, and implementing efficient, innovative business solutions to clients' complex pharmacy benefit challenges + Strong understanding of pharmacy plan… more
- Prime Therapeutics (Austin, TX)
- …drives every decision we make. **Job Posting Title** Senior Proposal Writer - Remote **Job Description** The Senior Proposal Writer is responsible for responding to ... + Collaborate with client proposal teams to create Through the Blue pharmacy proposals and maintain client-specific resources + Partner with Legal and stakeholders… more
- IQVIA (Houston, TX)
- …We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact **Care Navigator - Certified Biller and Certified Coder ... Benefits (EOB) + HIPPA trained + Customer Service Experience preferred + Pharmacy Technician experience preferred **IQVIA** is an Equal Opportunity Employer. We… more
- The Cigna Group (Austin, TX)
- …inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Services(PBS) benefits, mail-order pharmacies, or Medicare. + Take calls ... or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment + Obtain new prescriptions from physician's office and record… more
- Molina Healthcare (Fort Worth, TX)
- …keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward ... * Track record coordinating cross-functional action plans with Enrollment, Claims, Pharmacy , Network, and Member Services * Hands-on experience maintaining evidence… more
- Prime Therapeutics (Austin, TX)
- …**Job Posting Title** VP, Enterprise Implementations & Customer Success - REMOTE **Job Description** The Vice President Enterprise Integration and Customer Success ... management experience in a technology function or similar area for a Pharmacy Benefit Manager (PBM), health plan, or managed care organization + Must… more
- Centene Corporation (Austin, TX)
- …effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Prime Therapeutics (Austin, TX)
- …decision we make. **Job Posting Title** RVP Mid Market Sales - Remote in Southeast Region **Job Description** Responsible for attaining sustainable sales growth ... through current and new customers for the Pharmacy Employer market in the assigned region. Oversees requests for proposal (RFP) solicitation and response. Develops… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... years' current or previous experience in Oncology, Transplant, Specialty Pharmacy , Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst ... and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise.… more