- Abbott (Abbott Park, IL)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting, you will be responsible for managing ... complex contract terms for Managed Care / Market Access contracts across large PBM /GPO relationships. + Employ a strong understanding of the US healthcare landscape… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …requirements to ensure deadlines are met. Works in conjunction with the Pharmacy Benefit Manager ( PBM ) and Formulary Management software vendor to execute on all ... encourage you to apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare Part D formulary creation and… more
- CVS Health (Buffalo Grove, IL)
- …can work knowing you are helping many people each day. The Senior Software Manager position reports to an executive director and exists to lead Innovation and ... time sheets for CVS and vendor resource to ensure compliance . + Commitment to ensuring teams adheres to the...AI and ML) **Preferred Qualifications** + Health Care and PBM background + AS400 / IBMi Series experience **Education**… more
- CareFirst (Baltimore, MD)
- …engineers, data architects, data analysts, and data scientists. As a Data Product Manager , you will establish and execute the data product operating model, define ... developing strategies to achieve business outcomes, drive innovation, and ensure compliance with regulatory, legal, and ethical requirements. You will collaborate… more
- CareFirst (Baltimore, MD)
- …tied to specialty medications, and collaborating with Pharmacy Benefits Management ( PBM ) partners to ensure appropriate pricing, risk mitigation, and compliance ... history, financial statements, and loss control surveys. + Ensures legal compliance by auditing and enforcing guidelines, account contracts, and company business… more
- Elevance Health (Indianapolis, IN)
- …for accurate and prompt credentialing for health plans and pharmacy benefit managers ( PBM ) for all pharmacy sites. **How you will make an impact:** + Acts ... and provider information. + Administers credentialing and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies… more
- CVS Health (Woonsocket, RI)
- …and energy to the team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong conceptual ... **Position Description** CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer.… more
- Prime Therapeutics (Madison, WI)
- At Prime Therapeutics (Prime), we are a different kind of PBM , with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a ... Posting Title** Mgr Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is responsible for developing strategic priorities and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …role is key to driving successful IT development initiatives within the Pharmacy Benefits Manager ( PBM ) claims space. As a Senior Consultant, you will serve as ... have proven experience in business systems analysis, preferably within healthcare or PBM environments; additionally, you will have a strong understanding of PBM… more
- BrightSpring Health Services (Tempe, AZ)
- …value proposition to its clients. They lead a team of Sr. Account Manager 's, Account Manager 's and Managers. The Director cultivates and maintains on-going ... Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional… more