- Geisinger (Danville, PA)
- …pharmacy technology and issues related to decision support and database management . + Provides pharmacy technology related in-service education for ... Job Summary Collaborates with both inpatient and outpatient pharmacy IT and Clinical Informatics for the selection,...+ Is a resource for Revenue Cycle and Revenue Management to troubleshoot charge errors in Siemens or Epic.… 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
- Humana (Santa Fe, NM)
- …continuously improving consumer experiences **Preferred Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, ... an impact** **Required Qualifications** + Bachelor of Science in Pharmacy or PharmD Degree + Active pharmacist license in...services that create value for Humana members + Previous management experience and ability to lead teams + Previous… more
- CVS Health (Cumberland, RI)
- …Excel skills, including financial modeling and data analysis + Experience in Pharmacy Benefit Management (PBM), pharmaceutical, or healthcare industries ... weight management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences of our… 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
- Cardinal Health (Baton Rouge, LA)
- …successful implementation. . Build strong partnerships across Patient Access, Case Management , Specialty Hubs, Pharmacy Operations, IT, and executive leadership. ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- The Cigna Group (Morris Plains, NJ)
- …High school diploma or equivalent required. + 5+ years of experience in pharmacy benefit management , healthcare technology, or standards implementation. + ... Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality.… more
- Molina Healthcare (UT)
- …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
- RxBenefits (Providence, RI)
- …+ Monitoring, researching and analyzing federal and state laws related to the healthcare/ pharmacy benefit management industry + Assist in the preparation ... advise on state and federal law specific to the healthcare/ pharmacy industry. This individual is a forward-thinking professional who..._RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total… more
- Northwell Health (New Hyde Park, NY)
- …management (UM) criteria, and evidence-based drug therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role ... with a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health plans + Experience in formulary … more