- Lumeris (NH)
- …Enhances access to care and referral network optimization. + Identifies pharmacy management opportunities (promoting generics, medication adherence, step ... Care Team partners including: physicians, nurses, administrative staff and management . Improves awareness, adoption and utilization of ADSP related quality… more
- The Cigna Group (St. Louis, MO)
- …President of Sales is responsible for leading our sales strategy and execution across Pharmacy Benefit Services (PBS) and addition to sales support for other ... in order to win and retain business. + **Team Management :** Build, mentor, and lead a high-performing sales organization,...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve… more
- Trinity Health (Westerville, OH)
- …and accountability for all drugs, including controlled substances. + Assists in the management of pharmacy inventory by providing information to pharmacy ... Ann's is seeking a Contingent Patient Care Pharmacist to join our dynamic pharmacy team. This flexible role offers the opportunity to work across both operational… more
- Sharp HealthCare (San Diego, CA)
- …referral management , prior authorization, Case Management and Disease Care Management and Pharmacy . Manages the operations of the Hospital Case ... procedures that have direct impact on the Hospital Case Management , Ambulatory Case Management and Pharmacy...of managed care, capitation, provider payment mechanisms and member benefits . + Demonstrated experience and the ability to lead… more
- Idaho Division of Human Resources (Boise, ID)
- …steps to identify, diagnose and resolve areas of concern related to pharmacy benefits and pharmacy benefit managers. + Perform specialized analysis of ... Pharmacy Benefits Market Examiner Posting Begin...Department of Insurance (https://doi.idaho.gov/) (DOI) is searching for a Pharmacy Benefit Market Examiner. This position is… more
- LA Care Health Plan (Los Angeles, CA)
- …with internal departments (Member Services, Provider Network Operations, Claims, Utilization Management , Pharmacy , and Quality Management ) to ensure ... work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management , Quality Management , Pharmacy ) to appropriately… more
- HCA Healthcare (Kansas City, MO)
- …license in good standing with the appropriate Missouri State Board of Pharmacy ** + **Missouri Medications Therapy Management Certification within 60 days ... part of the nation's leading provider of healthcare services, HCA Healthcare. ** Benefits ** Research Medical Center, offers a total rewards package that supports the… more
- Insight Global (Charlotte, NC)
- …https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Experience: * 7+ years in pharmacy benefit management (PBM), health insurance, ... be responsible for leading the analysis and reporting of pharmacy data for Medicare programs, focusing on CMS Direct...Direct Subsidy allocations . Work with Finance and Account Management to project yearly Medicare changes . Ensure data… more
- Sanofi Group (Morristown, NJ)
- …years in a combination of the following areas within specialty care: pricing, contracting, pharmacy benefit management , specialty pharmacy strategy & ... MBA or related graduate degree. + A minimum of 8 years of experience in Health Plan, PBM, employer benefits , actuarial and/or benefit consultants. + Minimum of 5… more
- Prime Therapeutics (Lansing, MI)
- …in pharmacy benefit design, claims processing, or related role in Pharmacy Benefit Management (PBM) Every employee must understand, comply with and ... benefit plan designs and appropriately code and document benefits for new or renewing business + Provide ...benefits for new or renewing business + Provide benefit plan submission support to clients and respond and… more