- World Insurance Associates, LLC. (Miami, FL)
- …Skills, and Abilities (Expert) + Plan design (eg, VBD, RBP, PBM ,) underwriting, funding concepts and external third-party products/solutions, beyond traditional ... insurance products. + Carrier negotiations with clients with large and highly complex clients + Executive presence with polished communication/presentation skills with the ability to influence key decision makers. + Project planning and management around… more
- Insight Global (Tempe, AZ)
- …Hour, First Call Resolution, Call Quality, Schedule Adherence, Attendance and Punctuality -Previous experience in the healthcare industry -Previous PBM experience ... This group will be apart of the healthcare company and must have experience in a high call volume call center. The role will receive ~80 inbound calls a day from customers, doctors, insurance providers, and more of the healthcare company to help with any… more
- Insight Global (Boston, MA)
- …1 year hospital/sterile processing (home infusion/CAPS/etc.) OR 3+ years retail/specialty/ PBM Strong attention to detail, analytical skills, and critical thinking ... skills. Must be well organized and be able to stay on task regardless of environmental distractions Strong communication skills including the following: Well-spoken and well written (grammatical intelligence and syntax) Proficiency with Microsoft Outlook,… more
- HCA Healthcare (Nashville, TN)
- …and program success + Coordinate with internal teams- sourcing, account management and PBM to understand changes to the business and how those impact the specialty ... program + Provide leadership support in issue resolution with various stakeholders + Support creation of analytics to ensure program optimization + Support onboarding of new members for Specialty program Consulting + When needed leads/participates in key… more
- The Cigna Group (St. Louis, MO)
- …architecture with real-world execution. **Nice to Have** + Prior ** PBM /specialty pharmacy** platform knowledge (eg, claims/benefit management, care coordination, ... specialty workflows). + Earlier **hands‑on engineering** (software, data, or platform) before moving into architecture leadership. + Industry credentials (eg, **TOGAF** , Azure/AWS architecture) and/or published architecture patterns. **Leadership… more
- AbbVie (North Chicago, IL)
- …day of employment. + 5-7 years' experience within a healthcare provider, PBM , Specialty Pharmacy or Retail/Mail Order Pharmacy setting, familiarity with medical ... record handling/documentation, strong core insurance (Medical and Pharmacy Benefit) knowledge, high quality customer service, knowledge of online verification systems, or similar experience preferred. + Strong understanding of billing and health care… more
- Cognizant (Teaneck, NJ)
- …+ Master's or MBA degree. + Experience in strategy divisions within Provider, PBM , Payer, and Life Sciences. + Experience collaborating with and reporting to CxO ... executives. + Background in Big 4 management firms. + Experience coordinating workstreams in multi-team projects using an onsite/offshore model. + Experience working in global organizations and/or with global clients. We're excited to meet people who share our… more
- The Cigna Group (Bloomfield, CT)
- …scientific, or analytic disciplines. + 3-5 years of experience in data analytics, PBM , or healthcare. + Experience with 340B at a Covered Entity is required ... + Strong problem-solving, analytical, and communication skills. + Ability to communicate effectively to various audiences/levels including leadership; ability to take a complex financial/pricing issue/problem and deconstruct it into a concise, impactful… more
- Insight Global (San Diego, CA)
- …skills * Experience in healthcare, pharmacy, or pharmacy benefit management ( PBM ) environments * Familiarity with data engineering and MLOps practices (ETL ... pipelines, feature stores, model deployment) * Exposure to LLM-based applications, prompt engineering, and Retrieval-Augmented Generation (RAG) systems * Knowledge of visualization and reporting tools such as Superset or Streamlit * Passion for using… more
- 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
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