- CVS Health (Bloomington, MN)
- …years of professional work experience in healthcare, managed care, health plans, or PBM . + Experience with pharmacy benefit management (ie drug rebates, drug spend, ... formulary strategies, pharmaeconomic analysis, contracting). + Ability to communicate effectively and succinctly with a diverse range of stakeholders. + Travel: Up to 15% **Preferred Qualifications:** + Advanced degree (eg MBA, R.Ph or PharmD) preferred +… more
- US Tech Solutions (May, OK)
- …HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at least two years experience ... as a pharmacist in Managed care environment. + Must have an active pharmacist licensure in the State of North Carolina. + Must have an active license in the state of residence in good standing. **Questionnaire:** + How many years of prior-authorization… more
- CVS Health (Bloomington, MN)
- …Science, etc.) Previous work experience within the healthcare industry, particularly a PBM + Experience working with large volumes of medical and pharmacy claims ... data + Knowledge of various clinical metrics and techniques (ie: Charlson Comorbidity scores, regression modeling, propensity scores) + The ability to communicate effectively and succinctly with a diverse range of stakeholders, both verbally and on paper, and… more
- Molina Healthcare (Madison, WI)
- …Information Set (HEDIS), Medicaid, Medicare and Pharmacy Benefit Management ( PBM ), Group/IPA practice, capitation, health management organization (HMO) regulations, ... managed health care systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management and evidence-based guidelines. To all current Molina employees: If you are interested in applying for this position, please… more
- UPMC (Bridgeville, PA)
- …with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. + General: Practice appropriate hand ... hygiene both in the pharmacy and in the units. + Distribution: Develop and maintain positive and productive service relationship during medication distribution process. + General: Use computer skills to process and maintain all patient information and records.… more
- Bayer (Whippany, NJ)
- …into Customer Operations** : Gain insights into customer operations, including PBM formulary & utilization management, Wholesaler and GPO roster management 6. ... **Enhancing Transparency** : Uncover existing or perceived Market Access hurdles that may impact Bayer product utilization. 7. **Improving Relationships** : Enhance mutual understanding and thereby fostering more constructive partnerships with customers. In… more
- Health Care Service Corporation (Richardson, TX)
- …Senior Director will support HCSC's Medical and Pharmacy Benefit Integration, MTM, PBM , and pharmacy product initiatives. Primary focus on providing strategies that ... increase efficiency, improve outcomes and help manage drug spend. Required Job Qualifications: * Pharm D Pharmacist in the state of operations. * At least 4 years experience in managed care pharmaceuticals. * At least 4 years of managerial experience in the… more
- Walgreens (Pittsburgh, PA)
- …Qualifications:** * Experience providing customer service in a healthcare, specialty pharmacy, PBM , call center setting or other related industry including but not ... limited to adherence, quality, etc. * Experience in identifying operational issues and recommending and implementing strategies to resolve problems. * Familiarity of medical terminology, prescriptions and pharmacy regulations. * Intermediate level PC skills,… more
- Cleveland Clinic (Beachwood, OH)
- …specialty pharmacy insurances, including Medicare, Medicaid, Pharmacy Benefit Managers ( PBM ), and Preferred Provider Organizations (PPO) and communicates with payors ... and advises patients or physician of results as needed. + Communicate with patients professionally and customer-friendly to schedule the delivery of new and refilled medications and supplies. + Utilize all pharmacy systems to review patient profiles, enter… more
- CVS Health (Northbrook, IL)
- …Data Analysis skills **Preferred Qualifications** + Experience working within a PBM (Pharmacy Benefit Management) environment + Proven people leadership experience, ... including managing and developing teams + Experience with large data sets (Teradata, Google Cloud) and visual analytics tools (Power BI, Tableau) to draw actionable insights + Mastery of growth mindset (quick to develop your personal skills, and teams'… more