- The Cigna Group (Houston, TX)
- …addressing plaintiff-side or affirmative litigation;** + Experience representing health insurance or pharmacy benefit management companies. + Strong people ... cases start to finish. Experience litigating federal and state healthcare and/or pharmacy benefits law is preferred, though not required. + Direct and manage all… more
- Sharp HealthCare (San Diego, CA)
- …functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and ... , and concurrent and retrospective rev1ew process. + Participates in risk management , pharmacy utilization management , catastrophic case review, outreach… more
- Molina Healthcare (Chandler, AZ)
- …provider contracting experience. * Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO ... Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …decisions, backed by data, strategy, and deep industry knowledge. We're looking for a Pharmacy Benefits Consultant to join our growing Pharmacy Consulting ... Practice and help clients navigate the ever-evolving pharmacy benefits landscape. In this high-impact role,...your expertise to help clients design, implement, and manage pharmacy benefit strategies that are cost-effective, clinically… 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. ... and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital preferred. + Appropriate state license… more
- Abbott (Abbott Park, IL)
- …Prior experience working for a large consulting firm. + Deep understanding of Pharmacy Benefit Management contracting, vendor oversight, formulary ... management , strategy and analytics. + Experience managing large, complex employer benefit plans. + Strong background in benefits data analysis, forecasting,… more
- LifePoint Health (Rutherfordton, NC)
- …*who excels in this role: * Developing and coordinating clinical pharmacy services including antibiotic management , renal dosing program, pharmacokinetic ... of clinical services and serving as a resource for Pharmacy Staff, Nursing Staff and Medical Staff. * Manages...your base compensation, this position also offers: . *Comprehensive Benefits *: Multiple levels of medical, dental and vision coverage… more
- Aerotek (Pittsburgh, PA)
- …store, including both the front end and pharmacy . You will support pharmacy inventory management activities, champion On Shelf Availability, and ensure the ... environmental factors, and physical capabilities of facilities. **Pay and Benefits ** The pay range for this position is $18.00...is $18.00 - $18.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and… more
- AON (IN)
- … Consulting Vice President provides strategic, financial and clinical consulting on the pharmacy benefit for employers across all pharmacy solutions. As ... + Accountability for developing and implementing strategies to enhance pharmacy benefit offerings for employer clients primarily...+ Viewed as an industry leader with expertise in pharmacy benefits . + Deep knowledge negotiating and… more
- Conduent (Honolulu, HI)
- …relations, and call center support for fee-for-service claims. Additionally, we manage Pharmacy Benefits Management (PBM) claims and payment processing, ... as well as Drug Rebate Administration Management Services (DRAMS) for our customer, the Hawaii Department...Perks and rewards designed for you: Health and Welfare Benefits : Our health and welfare benefits can… more