• Relationship Account Manager - PBM

    AscellaHealth (Berwyn, PA)
    …global specialty pharmacy and healthcare services organization, is seeking a 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 (08/20/25)
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  • PBM Pricing Strategy Analyst Manager

    Elevance Health (Nashville, TN)
    ** PBM Pricing Strategy Analyst Manager - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Pricing Strategy Analyst Manager ** will be responsible for Pharmacy… more
    Elevance Health (08/29/25)
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  • PBM Pricing Strategy Analyst Manager

    Elevance Health (Indianapolis, IN)
    **Be Part of an Extraordinary Team** ** PBM Pricing Strategy Analyst Manager ** **Location:** CT-WALLINGFORD, 108 LEIGUS RD, GA-ATLANTA, 740 W PEACHTREE ST NW, ... an accommodation is granted as required by law._ The ** PBM Pricing Strategy Analyst Manager ** is responsible...+ Conduct thorough reviews of rebate agreements to ensure compliance and identify any potential misses. + Streamline the… more
    Elevance Health (08/08/25)
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  • Executive Director, PBM Client Reporting…

    CVS Health (Northbrook, IL)
    …+ Prior experience working with or for a Pharmacy Benefits Manager ( PBM ) + Experience in highly regulated compliance environment + Process Improvement ... Director, Client Reporting Product Development will lead and oversee the development of PBM front-end client reporting tools and systems. This leader will focus on… more
    CVS Health (08/16/25)
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  • PBM Senior Reporting Analyst

    CVS Health (Jefferson City, MO)
    …set, and the team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data, Analytics, and Automation team. To be ... CVS Health has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst...to, financial and operational information supporting state and federal compliance reporting. You will be responsible for standard and… more
    CVS Health (08/30/25)
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  • PBM Data Engineer

    CVS Health (Irving, TX)
    …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within our Reporting Solutions team. CVS ... limited to, financial and operational information supporting state and federal compliance reporting. You will continuously improve quality control and accuracy of… more
    CVS Health (08/28/25)
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  • Business Analyst Project Management Experience…

    COOLSOFT (Raleigh, NC)
    …* Preferred to have experience with Medicaid, managed care, and Pharmacy Benefit Manager ( PBM ) operations. areas. * Prior experience with Medicaid applications ... Interview or In Person * Hybrid Description : The PBM Business Integration Specialist will serve as a member...into detailed and actionable requirements as needed. * Ensures compliance with all applicable policies and procedures. * Supporting… more
    COOLSOFT (08/22/25)
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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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  • Manager , Business Regulatory Affairs

    CVS Health (Phoenix, AZ)
    …Regulatory Affairs Manager is essential to ensuring the operationalization and compliance of state and federal mandates which impact CVS Caremark or the clients ... with heart, each and every day. **Regulatory Affairs - Manager ** Position Summary As a Regulatory Affairs Manager...the review and analysis of Medicaid MCO contracts for compliance and operational alignment. + Serve as a Medicaid… more
    CVS Health (08/28/25)
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