• Clinical Pharmacist

    Point32Health (MA)
    …(https://www.point32health.org/) . **Job Summary** Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist ... responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions.… more
    Point32Health (12/02/25)
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  • Pharmacist - Clinical Operations Advisor

    CVS Health (Annapolis, MD)
    …+ 2-3+ years prior relevant work experience as a pharmacist in managed care ( Pharmacy Benefit Management ) environment + Demonstrated understanding of CVSH ... stakeholders and client contacts **Preferred Qualifications** + Experience supporting Pharmacy Benefit Management (PBM) clients...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (11/26/25)
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  • Staff Pharmacist (Hospital: Full-time, mixed…

    Trinity Health (Fort Lauderdale, FL)
    …to make informed medication decisions and ensure optimal patient outcomes. + ** Pharmacy Management :** Contributing to the hospital's formulary (list of approved ... Pharmacy License **_Position Highlights and Benefits_** + Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B,… more
    Trinity Health (10/31/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbia, SC)
    …enforcement agencies. **Other Skills: ;** + Health care industry and/or Medicare/Medicaid/ Pharmacy /Behavioral Health/ Pharmacy Benefit Management ... those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
    AmeriHealth Caritas (12/03/25)
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  • Operations Manager

    CVS Health (State College, PA)
    …the Store Manager in the total leadership and strategic operation of a CVS/ pharmacy store including: + Overall store management , supervision, and policy ... in Training position, the Operations Manager position is not part of the CVS/ pharmacy Retail Management Development Program. Operations Managers are not eligible… more
    CVS Health (12/03/25)
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  • President PBM - Clearscript

    Fairview Health Services (Shoreview, MN)
    …is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall ... strategy and strategic partnerships to ensure the delivery of high-quality, cost-effective pharmacy benefit solutions. The role requires deep industry knowledge,… more
    Fairview Health Services (12/03/25)
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  • Marketing Coordinator

    BrightSpring Health Services (Scottsdale, AZ)
    …the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services - offering hospices ... prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per day. Through its… more
    BrightSpring Health Services (11/06/25)
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  • Pharmacist - Medicare Part D

    US Tech Solutions (May, OK)
    …Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:** Business Hours ... Medicare Part D members and providers with requests related to their pharmacy benefits . **Responsibilities:** + You will be responsible for ensuring cases are… more
    US Tech Solutions (11/28/25)
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  • Managed Care Resident - Express Scripts (Formulary…

    The Cigna Group (St. Louis, MO)
    …Guidance + Residency Project **Rotational Opportunities:** + Clinical Product + Specialty Pharmacy + Advanced Utilization Management + Pharma Trade Relations + ... Patent, Pipeline and Emerging Therapeutics + Client Account Management + Areas of Personal Interest within Evernorth **Minimum...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve… more
    The Cigna Group (09/27/25)
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  • 340B Analyst

    Rochester Regional Health (Rochester, NY)
    … & Auditing. Audit for compliance with OPA/HRSA and other regulatory bodies; review Pharmacy Benefit Management dashboards to audit data and interact with ... ATTRIBUTES + At least one (1) year of contract management experience is strongly preferred + Demonstrated analytical and...pharmacies; ensure pharmacy information system is up to date; audit contract… more
    Rochester Regional Health (10/03/25)
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