• Principal Solutions Architect, Pharmacy

    CareFirst (Baltimore, MD)
    benefits /incentives are subject to eligibility requirements). **Department** 2024-2026 PBM / Pharmacy RFP Pro **Equal Employment Opportunity** CareFirst ... strategic technology direction and creating solution architecture for the Pharmacy business and across large complex initiatives/projects, including Pharmacy more
    CareFirst (07/18/25)
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  • Senior Solution Product Owner - Pharmacy

    Prime Therapeutics (Bismarck, ND)
    …+ Experience delivering on premise and cloud/mobility products + Experience in Pharmacy Benefit Management ( PBM ) or related industry + Technical background ... decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible… more
    Prime Therapeutics (09/04/25)
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  • Clinical Account Manager

    Access Dubuque (Dubuque, IA)
    …direction of the VP of Clinical Services. **About MedOne:** MedOne is a full-service pharmacy benefit manager ( PBM ), serving clients and members nationwide. ... Account Manager Cottingham & Butler/ SISCO Account Manager Cottingham & Butler/ SISCO Benefits Sales...**About the Company** **Company Information** MedOne is a full-service pharmacy benefit manager ( PBM ), serving… more
    Access Dubuque (09/04/25)
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  • Senior Manager , Underwriting Software…

    CVS Health (Columbia, SC)
    …experiences users will love. + Developing and exercising expert knowledge of the PBM industry, current and emerging pharmacy strategies, CVS Caremark enterprise ... it all with heart, each and every day. **Position Summary** As Senior Manager , Underwriting Software Services, you will be responsible for leading the ideation,… more
    CVS Health (09/10/25)
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  • Third Party Contracting Analytics Manager

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …of organizational policies. **Job Summary** : Responsible for analyzing benefits and reimbursement structures, developing strategies to improve margins, and ... negotiating favorable terms with pharmacy benefit managers (PBMs) and other third-party payers. **Responsibilities**...to leadership. + Serve as the primary contact for PBM contract negotiations. + Prepare financial models and business… more
    KPH Healthcare Services, Inc. (08/01/25)
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  • Remote Insurance Verification Specialist,…

    Walgreens (Deerfield, IL)
    …and courteous service. **Job Responsibilities** + Respond to all levels of inbound Pharmacy Benefit Manager ( PBM ) and major medical insurance related ... + Resolves questions and problems submitted by customers and Pharmacy Benefit Manager ( PBM ) following...cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans. + Verifies benefits for Major… more
    Walgreens (09/11/25)
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  • Manager , Trade & Sales Operations

    Teva Pharmaceuticals (Parsippany, NJ)
    …Trade, Generic, and/or Specialty pharmaceutical knowledge preferred. + Familiarity with payer, PBM , and specialty pharmacy dynamics; ability to link analytics to ... Manager , Trade & Sales Operations Date: Sep 12,...closely with Account Management teams (Trade, GPO, and Specialty Pharmacy ), Finance, Legal, and Supply Chain to deliver operational… more
    Teva Pharmaceuticals (09/13/25)
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  • Senior Manager , Payer Relations Reporting…

    CVS Health (Woonsocket, RI)
    …complex healthcare marketplace? If so, consider advancing your career as a Senior Manager , Payer Relations Reporting & Analytics within the Retail Pharmacy ... Margin & Payer Relations Analytics organization at CVS Pharmacy . As the healthcare ecosystem evolves and patient expectations rise, CVS Pharmacy must… more
    CVS Health (09/13/25)
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  • Senior Manager of Strategic Pricing…

    Abbott (Alameda, CA)
    …other computer software. **Preferred** + Minimum 3+ years' experience in Retail Pharmacy Payor/ PBM contracting + Minimum 3+ years' people management experience ... measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting, you will be...for Managed Care / Market Access contracts across large PBM /GPO relationships. + Employ a strong understanding of the… more
    Abbott (09/06/25)
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  • Sr. Manager , Software Development…

    CVS Health (Richardson, TX)
    …Sr. Development Engineering Manager is responsible for managing the technical needs across PBM Benefits space in the Pharmacy Benefits Management ... of applications and processes used in the management of PBM processes with a focus on delivering high quality...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (09/10/25)
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