• Pharmacist - Medicare Part D

    US Tech Solutions (May, OK)
    …experience. **Experience:** + **Previous pharmacy experience in Medicare Part D, PBM , Prior Authorization is required.** + Appropriate state license required. + ... Basic computer skills required. + Strong organizational skill, interpersonal skills and detail orientation important for this position. + Appropriate state license required. **Education:** + Bachelor's degree in pharmacy or Pharm D. required with at least two… more
    US Tech Solutions (11/28/25)
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  • VP, Market Access & Payer Strategist

    BGB Group (New York, NY)
    …will possess 10+ years of market access agency or biopharma experience (payer, PBM , and or health system access experience a plus). They will exhibit strong ... analytic, communications and problem-solving skills. They can both lead and collaborate effectively. They will have a track-record of driving and inspiring sound strategy. They make connections and help others to see clearly in complex situations. They are… more
    BGB Group (11/22/25)
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  • MCO Director Payment Integrity

    AmeriHealth Caritas (Newtown Square, PA)
    …across all ACFC lines of business and products (Medicaid, Medicare, Exchange, PBM , BH). This role ensures that implemented solutions deliver measurable value through ... rigorous analytics, including the use of artificial intelligence (AI), machine learning (ML), and NLP-based automation, coupled with continuous policy refinement, and strong Plan and provider stakeholder engagement. The Director leads efforts to monitor… more
    AmeriHealth Caritas (11/21/25)
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  • Service Line Specialist - Healthcare

    Cognizant (Dallas, TX)
    …What you need to have to be considered: . Healthcare Experience - Payers, PBM , Providers . Gen AI skillsets, Certified in AI . Experience in selling Automation, ... Process Consulting, Data & Analytics solutions. Strong domain experience with automation & transformation opportunities in business processes. . Experience supporting account teams and building collaborative relationships with external and internal partners. .… more
    Cognizant (11/20/25)
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  • Software Engineering Senior Advisors- Hybrid

    The Cigna Group (Morris Plains, NJ)
    …or knowledge of: IBM Mainframes; COBOL6; JCL; VSAM; DB2; MQ; TSO/ISPF; PBM claim adjudication processing; Inflation Reduction Act ("IRA"); CMS (HIPPA); NCPDP ... guidelines; Point of Sale; Coordination of Benefit ("COB"); manual submitted claims processing; retail pharmacy network system; CA-7 Scheduler; Endeavor; XPEDITER; SPUFI; migration activities; job execution in JAVA and Postgres DB; and Agile process. If you… more
    The Cigna Group (11/18/25)
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  • Clinical Pharmacist

    ChenMed (Berwyn, IL)
    …and/or supporting Pharmacy Technicians + Experience in a managed care setting (HMO, MSO, PBM ) is a plus + Certified to provide immunization is a plus + Completion ... of Medication Therapy Management certificate program or Ambulatory Care Certificate a plus **PAY RANGE:** $118,062 - $168,658 Salary **EMPLOYEE BENEFITS** https://chenmed.makeityoursource.com/helpful-documents We're ChenMed and we're transforming healthcare… more
    ChenMed (11/18/25)
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  • Pharmacy Accounting Specialist

    St. Bernard's Medical Center (Jonesboro, AR)
    …aspects of procurement, including invoice processing, vendor relationship management, PBM and 340B payment oversight, and financial reporting. Serving as ... the primary liaison between the pharmacy department and accounting, this position plays a key role in ensuring transparency, compliance, and optimization of all medication-related financial operations. Working closely with pharmacy leadership, supply chain… more
    St. Bernard's Medical Center (11/15/25)
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  • Pharmacy Services Revenue Analyst

    Fairview Health Services (Minneapolis, MN)
    …analysis - preferably with insurance company/payor including both Pharmacy Benefit Manager ( PBM ) and Health Plan or health care provider system. + Proficient in ... Microsoft Suite applications such as Excel, Access, PowerPoint, Word **Preferred** **Experience** + 2 - 4 years experience in health care organization or health insurance company preferred **License/Certification/Registration** + Certified Pharmacy Technician… more
    Fairview Health Services (11/15/25)
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  • Call center Pharmacist

    US Tech Solutions (May, OK)
    …as a Prior Authorization Pharmacist is required. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an ... active license in the state of work. **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit… more
    US Tech Solutions (11/07/25)
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  • Pharmacist - Remote

    US Tech Solutions (May, OK)
    …+ Pharmacy Benefit Management **Experience:** + Previous pharmacy experience in PBM or Prior Authorization. + Appropriate state license required. + Basic ... computer skills required. Strong organizational skill, interpersonal skills and detail orientation important for this position **Education:** + High School Diploma or GED required. Bachelor's degree in pharmacy or Pharm D. also required with at least two years… more
    US Tech Solutions (11/07/25)
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