- Prime Therapeutics (Salt Lake City, UT)
- …+ Master's degree or other advanced degree + 5+ years of work experience in Pharmacy Benefit Management (PBM) Every employee must understand, comply with and ... + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Pharmacy , Analytics, Finance, Business, Health Care Administration, or related area of… more
- Regeneron Pharmaceuticals (Los Angeles, CA)
- …maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products This role ... for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed… more
- Molina Healthcare (Rochester, NY)
- …provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO ... and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and… more
- Molina Healthcare (Ann Arbor, MI)
- …provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO ... and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and… more
- Prime Therapeutics (Carson City, NV)
- …of work experience in business/process analysis, project/program management and/or at a pharmacy benefit management organization + Must be eligible to ... Yellow Belt or higher + Experience working at a Pharmacy Benefit Management (PBM), healthcare,...$160,000.00 based on experience and skills. To review our Benefits , Incentives and Additional Compensation, visit our Benefits… more
- Prime Therapeutics (Baton Rouge, LA)
- …or GED is required + 10 years of related work experience in healthcare, pharmacy benefit management (PBM), pharmaceutical sales, analytical contracting or ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy strategies and all related partner/customer relationships. This position is… more
- US Tech Solutions (May, OK)
- …Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D. ... a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp… more
- US Tech Solutions (RI)
- …2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D + Pharmacy Benefit Management (PBMs) **Education:** + Bachelor's Degree Required, ... and other healthcare professionals following agreed upon approval & denial management processes. + Handles inbound phone calls and escalations from physicians… more
- US Tech Solutions (May, OK)
- …Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D. ... patients, and other healthcare professionals following agreed-upon approval & denial management processes. + Collaborate with the technicians and prior authorization… more
- Walgreens (Tulsa, OK)
- …with drug interactions. Responsible for overseeing the daily operations of the pharmacy department and is accountable for workflow management , clinical ... to policy and procedure, compliance with internal and external regulatory bodies, pharmacy sales, expense control and inventory management , and image through… more