- CVS Health (Northbrook, IL)
- …The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager ( PBM ). Implementations Managers play a critical role in onboarding ... lines of business and implementing plan changes. Given the complexities of todays PBM landscape, setting up a new client involves managing financial, product, and… more
- CVS Health (Scottsdale, AZ)
- …each and every day. **Position Summary** Caremark, the nation's leading pharmacy benefit manager ( PBM ), is dedicated to making the journey to better health ... This role requires a dynamic leader with extensive experience in PBM /Healthcare testing, test automation, and quality engineering. You will be responsible… more
- WTW (Nashville, TN)
- …benefit plan analysis, design, clinical and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM ... understanding of the pharmacy benefit management and US healthcare ecosystems, either at a PBM , health plan, health tech company or as a benefits consultant + A… more
- CVS Health (Springfield, IL)
- …towards achieving actuarial credential. + 1+ years of experience working for a pharmacy benefits manager ( PBM ) or in Rx consulting. + PBM and/or Healthcare ... with various stakeholders. + **Client Modeling Support** (25%): Support of live PBM client modeling through adhoc client analytics requests and partnering with… more
- Sharp HealthCare (San Diego, CA)
- …+ Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager ( PBM ) to ensure appropriate adjudication of medications that ... are authorized by Sharp Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices… more
- Apex Health Solutions (Houston, TX)
- …as it relates to CMS and other regulatory entities. Interacts with pharmacy benefit manager ( PBM ) to support the implementation of new pharmacy products or ... Excellent verbal and written communication skills Working knowledge of PBM system or experience working in a health plan...retail or community pharmacy setting, health plan, HMO and/or PBM setting. OR . Prior population health experience or… more
- Access Dubuque (Dubuque, IA)
- …policies and procedures. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- Deloitte (Davenport, IA)
- …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... relationships through exceptional service. + Serve as a project manager to train and mentor junior team members. +...US health/welfare benefits. + 3+ years of experience in PBM RFPs + 2+ years of underwriting experience beyond… more
- Access Dubuque (Dubuque, IA)
- …team and company goals. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully ... **About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. With a fully… more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more