- 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
- ChenMed (Louisville, KY)
- …is preferred, but not required + Experience in a managed care setting (HMO, MSO, PBM ) is a plus. + Certified to provide immunization is a plus. **PAY RANGE:** ... $118,062 - $168,658 Salary The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location,… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- **Overview** **Scope of Responsibilities:** Acquires skillset and knowledge of PBM and mail order resources, within their respective platforms, to effectively answer ... and document member related inquiries, complete eligibility updates and service member and client request in an accurate and efficient manner. **Job Summary:** Entry level position. Works under direct supervision following standard procedures and best… more
- University of Rochester (Rochester, NY)
- …Medicine. + Create strategy on business, market growth, service development and payor/ PBM strategies. + Participates with payer contracting leaders of the health ... system in the evaluation and negotiation of market access and contracts. + Maintains relationships with Total Rewards and pharmacy benefit manager responsible for employee benefits. Facilitates expanded pharmacy services for employees. **Performs other related… more
- CenterWell (Orlando, FL)
- …in a call center environment or pharmacy tech role. + Familiarity with PBM systems, Humana tools, or pharmacy benefit structures. + Bilingual (Spanish/English) a ... plus. **Additional Information** + This is an onsite role at our Orlando, FL office location. + Able to work a shift M-F, during hours of operation 8a-8p EST; some Saturdays may be required based on business need or Peak seasons. + Training is provided and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …outcomes **Vendor Management & Cost Optimization** + Lead negotiations with TPA, PBM , stop-loss carriers, and specialty vendors managing $50M+ administrative spend + ... Generate $30-50M annual savings (3-5% of budget) through strategic contracting, plan design, and operational improvements + Evaluate and implement innovative cost strategies: reference-based pricing, centers of excellence, direct contracting, specialty drug… more
- Abbott (Abbott Park, IL)
- …Finance or Healthcare management) + Backgrounds in reimbursement, payer strategy, PBM Economics, and healthcare economics/pricing are desired + Possess strong ... analytical skills, financial acumen, and capable of executing financial models in Microsoft Excel. + Experience with Tableau or other visual analytics/BI software packages a plus + Knowledge of Retail Pharmacy, DME, hospital and postacute care channels Apply… more