- AscellaHealth (Berwyn, PA)
- …global specialty pharmacy and healthcare services organization, is seeking a Relationship Account Manager for our Berwyn, PA location. The person in this role will ... new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value… more
- Elevance Health (Nashville, TN)
- ** PBM Pricing Strategy Analyst Manager - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** PBM Pricing Strategy Analyst Manager ** will be responsible for Pharmacy… more
- CVS Health (Northbrook, IL)
- …+ Prior experience working with or for a Pharmacy Benefits Manager ( PBM ) + Experience in highly regulated compliance environment + Process Improvement ... Director, Client Reporting Product Development will lead and oversee the development of PBM front-end client reporting tools and systems. This leader will focus on… more
- CVS Health (Irving, TX)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within our Reporting Solutions team. CVS ... limited to, financial and operational information supporting state and federal compliance reporting. You will continuously improve quality control and accuracy of… more
- CVS Health (Nashville, TN)
- …every day. This position requires the ability to travel up to 40% **Position Summary** The Manager , Compliance COE will be a key member of the Compliance ... + 5+ years of experience in relevant fields such as PBM , managed care, healthcare, market conduct exams, compliance , or audit. + Ability to travel up to 40% by… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …actionable recommendations to leadership. + Serve as the primary contact for PBM contract negotiations. + Prepare financial models and business cases to support ... and other payers. + Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve… more
- CVS Health (Phoenix, AZ)
- …Regulatory Affairs Manager is essential to ensuring the operationalization and compliance of state and federal mandates which impact CVS Caremark or the clients ... with heart, each and every day. **Regulatory Affairs - Manager ** Position Summary As a Regulatory Affairs Manager...the review and analysis of Medicaid MCO contracts for compliance and operational alignment. + Serve as a Medicaid… more
- Deloitte (Tallahassee, FL)
- …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... Pharmacy Benefit Manager /Health & Group Benefits Senior Consultant Human CapitalOur...clients on industry trends, best practices, regulatory updates, and compliance deadlines. + Evaluate vendors by reviewing services, contracts,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …position or similar + Preferred: minimum of 1 year in a pharmacy benefit manager ( PBM ) setting with working knowledge of operations. **Special Conditions of ... **Overview** **Scope of Responsibilities:** Assist with regulatory and compliance matters within ProAct. **Job Summary:** Responsible for administrative tasks to… more
- Abbott (Alameda, CA)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting, you will be responsible for managing ... complex contract terms for Managed Care / Market Access contracts across large PBM /GPO relationships. + Employ a strong understanding of the US healthcare landscape… more