- CVS Health (Scottsdale, AZ)
- …pharmacy claims data + Experience in healthcare industry, including health insurance, PBM or pharmacy services **Anticipated Weekly Hours** 40 **Time Type** ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within...will work with a collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not… more
- US Tech Solutions (May, OK)
- …based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM ( Pharmacy Benefits Management) required. + ... that experience are preferred. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have an active license in… more
- AscellaHealth (Berwyn, PA)
- …responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position ... is crucial to delivering value through a comprehensive understanding of specialty pharmacy benefits, rebate strategies, and core PBM functions. This individual… more
- Fairview Health Services (Minneapolis, MN)
- …Progressive leadership experience in pharmacy payer strategy within a specialty pharmacy , PBM ( Pharmacy Benefit Manager), and/or managed care setting. ... **Job Overview** Fairview Specialty Pharmacy is seeking a strategic and experienced Specialty...coalitions. The ideal candidate brings deep, direct experience in PBM or Payer (Health Plan) environments, and can translate… more
- GEHA (Lee's Summit, MO)
- …partnership with the Chief Medical Officer, this role oversees all aspects of pharmacy operations, benefit management, PBM oversight, pharmacy network ... setting. + 8+ years of leadership experience. + Demonstrated experience leading enterprise pharmacy strategy and managing PBM performance. + Proven success in… more
- Amazon (Seattle, WA)
- …building processes and coordinating release schedules - Experience in healthcare, preferably Pharmacy , PBM , or pharmacy -adjacent Preferred Qualifications - ... Description About Us: At Amazon Pharmacy , we believe that by removing and reducing...ourselves in becoming the world's safest and fastest online pharmacy . The Role: We seek a Senior Manager of… more
- Humana (Lansing, MI)
- …health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management ( PBM ) to develop and implement strategies and ... the Humana Michigan FIDE-SNP health plan relationship with our internal PBM , Humana Pharmacy Solutions ensuring compliance with programmatic requirements,… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of ... Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** 2024-2026 PBM / Pharmacy RFP Pro **Equal Employment Opportunity** CareFirst ... & Qualifications** **PURPOSE:** Provides the execution delivery leadership for Pharmacy strategic initiatives, including Pharmacy Benefit Management… more
- CareFirst (Baltimore, MD)
- …(all 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