• Director, Market Access and Channel Strategy- PDT

    Takeda Pharmaceuticals (Boston, MA)
    …products. You will also be responsible for value story development, payer/ PBM contracting strategy, pricing, specialty pharmacy and distribution plans, and ... in biopharma required; biopharma market access experience highly preferred (across payer, PBM , IDN, GPO, specialty pharmacy, etc.) + Understanding of US payer market… more
    Takeda Pharmaceuticals (10/16/25)
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  • Senior Account Coordinator

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …manage the distribution of monthly, quarterly, and annual management reports for PBM clients. + Oversee and coordinate on-site resolution of customer service issues ... to clients. + Oversee and coordinate on-site orientation to new PBM clients when necessary. + Interface via all means of communication with various external business… more
    KPH Healthcare Services, Inc. (10/09/25)
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  • Manager, Health Systems Analytics

    Bristol Myers Squibb (Princeton, NJ)
    …strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager ( PBM ) reforms, Inflation Reduction Act (IRA) negotiations, 340B, Most-Favored Nation ... (MFN) policies, and other relevant pricing regulations. The individual in this role contributes to analytics that shape strategic insights and inform pricing approaches, while also leveraging AI-powered analytics to enhance efficiency and impact.… more
    Bristol Myers Squibb (01/03/26)
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  • Sr Manager, Software Sourcing & Procurement Leader

    CVS Health (Woonsocket, RI)
    …non-IT categories that support key business units across the enterprise (Retail, PBM , Insurance, Specialty/Clinical, etc.). As a Sr. Category Manager, you will be ... a leader on the Sourcing & Category Management team, you should have an enterprise mindset, possess highly developed business background, and be a strong communicator who is able to establish lasting relationships with business leaders as well as internal and… more
    CVS Health (01/03/26)
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  • Lead Systems Architect

    Tetrad Digital Integrity LLC (Washington, DC)
    …claims processing, enrollment and eligibility platforms, Pharmacy Benefit Manager ( PBM ) integrations, CRM and call center platforms and care/case management ... systems + Design secure integrations patterns (API's, middleware, EDI batch and event driven) + Ensure alignment with enterprise architecture standards, interoperability requirements, scalability and resiliency objectives + Develop and deliver executive level… more
    Tetrad Digital Integrity LLC (01/02/26)
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  • Pharmacy Technician, Associate (Chartwell)

    UPMC (Oakdale, PA)
    …with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. + General: Maintain all patient ... information and records. Maintain the pharmacy computer system as required. + General: Procure and maintain adequate inventory levels on daily basis in applicable areas such pharmacy medication stock rooms, automated medication carousels, and automated… more
    UPMC (12/31/25)
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  • Lead Director, Enterprise Strategy

    CVS Health (New York, NY)
    …heart, each and every day. **Position Summary** **Calling all experienced Healthcare, PBM or Pharmacy Consultants looking for a rewarding career, while also enjoying ... work, life, balance. Come join our team as we lead the industry in Healthcare!** The Enterprise Strategy team is responsible for helping steward the development of the company's long-term strategy and associated priorities, connecting each business unit to… more
    CVS Health (12/31/25)
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  • Clinical Pharmacy Technician II - (Patient Access)…

    Highmark Health (Pittsburgh, PA)
    …preauthorization entries into applicable databases (ie, internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of services ... deemed medically necessary. Conducts insurance evaluations to determine patient eligibility and coverage for services. Performs medication reconciliation tasks to ensure accurate medication lists and prevent potential drug interactions. Maintains regulatory… more
    Highmark Health (12/31/25)
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  • Procurement Contracts - Lead Director

    CVS Health (Irving, TX)
    …and/or large-scale, highly visible arrangements simultaneously - Experience within the PBM , Retail and/or Healthcare Industries is preferred. - Experience in ... negotiating non-merchandise/indirect commodity purchases of goods and/or services deals/contracts is preferred - Experience with Ariba Contract Management or a similar contracts management system tool / platform is strongly preferred. - Ability to balance… more
    CVS Health (12/31/25)
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  • Specialty Pharmacy Technician Call Center Hybrid

    Beth Israel Lahey Health (Westwood, MA)
    …certification. 2. Specialty Pharmacy experience. 3. Pharmacy data entry and PBM Billing experience. **Competencies:** 1. **Decision Making:** Ability to make ... decisions that are based on specific instructions, standard practices and established procedures which generally require little or no supervision. 2. **Problem Solving:** Ability to address problems that are routine, somewhat repetitive and generally solved by… more
    Beth Israel Lahey Health (12/31/25)
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