• PBM Compliance Manager…

    Elevance Health (Norfolk, VA)
    ** PBM Compliance Manager (Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy … more
    Elevance Health (07/29/25)
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  • Sr Mgr., Corporate Compliance - Pharmacy…

    CVS Health (Scottsdale, AZ)
    …agencies and their contracted auditing organizations. As a Senior Manager , PBM Market Conduct Exam Support within Corporate Compliance , you will: + ... heart, each and every day. **Position Summary:** The Corporate Compliance PBM Business Compliance Office...dynamic individual to join our team in a Senior Manager role. This position will perform highly complex support… more
    CVS Health (07/30/25)
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  • Manager , Corporate Compliance…

    CVS Health (Scottsdale, AZ)
    …state regulatory agencies and their contracted auditing organizations. As a Manager , PBM Market Conduct Exam Support within Corporate Compliance , you will: + ... heart, each and every day. **Position Summary:** The Corporate Compliance PBM Business Compliance Office...+ 5-7 years of combined experience in a project manager / PBM role/Market conduct exam role. + Excellent… more
    CVS Health (07/30/25)
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  • Senior Relationship Account Manager…

    AscellaHealth (Berwyn, PA)
    …specialty pharmacy and healthcare services organization, is seeking a Senior Relationship Account Manager for our Berwyn, PA location. The person in this role will ... new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value… more
    AscellaHealth (06/26/25)
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  • Manager , Enterprise Procurement…

    CVS Health (Woonsocket, RI)
    …do it all with heart, each and every day. **Position Summary** As a Manager within the Enterprise Procurement Subcontractor Compliance & Risk department, you ... PBM Proposal teams in the development of RFP requests by supplying necessary compliance documentation and responses. + Collaborating with PBM Legal to update… more
    CVS Health (07/25/25)
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  • Pharmacist

    State of Arkansas (Little Rock, AR)
    …Pulaski Anticipated Starting Salary: $118,399.01 Position Summary The Pharmacist will function as the PBM Division Manager . The PBM Division Manager ... and monitors all PBM -related complaints, licensing, and renewal activities. The Manager also oversees a small professional staff and serves as the Division's… more
    State of Arkansas (08/07/25)
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  • Third Party Contracting Analytics Manager

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …actionable recommendations to leadership. + Serve as the primary contact for PBM contract negotiations. + Prepare financial models and business cases to support ... and other payers. + Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve… more
    KPH Healthcare Services, Inc. (08/01/25)
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  • Manager I, Pharmacy Operations

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …P&P meetings. + Responsible for business oversight of after hours delegation program with PBM to ensure compliance with all NCQA requirements and to monitor ... true colors to blue. The Role The Pharmacy Operations Manager plays a critical role in the management of...management, quality and production and reporting to ensure regulatory compliance and service excellence. Reporting to the Director, Pharmacy… more
    Blue Cross Blue Shield of Massachusetts (07/23/25)
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  • Regulatory and Compliance Clerk

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …position or similar + Preferred: minimum of 1 year in a pharmacy benefit manager ( PBM ) setting with working knowledge of operations. **Special Conditions of ... **Overview** **Scope of Responsibilities:** Assist with regulatory and compliance matters within ProAct. **Job Summary:** Responsible for administrative tasks to… more
    KPH Healthcare Services, Inc. (06/11/25)
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  • Manager of Client Operations

    Insight Global (Woonsocket, RI)
    Job Description As Manager of Client Operations, youll act as a technology ambassador to clients, advocating for their IT needs across multiple business units. Youll ... service delivery and client satisfaction. Work closely with account manager who works directly with client. Act as the...works directly with client. Act as the liaison between PBM clients and IT teams, managing custom workflows Communicate… more
    Insight Global (08/01/25)
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