- State of Massachusetts (Boston, MA)
- …standards and statutory requirements. * Manage the review of pharmacy benefit manager consumer communications, including explanations of benefits given to ... serve our citizens. *_About the Role:_* The Director of Pharmacy Benefit Manager Oversight operating within the...assistance in the development of regulatory guidance applicable to pharmacy benefits . * Provide technical assistance in… more
- The Cigna Group (Morristown, NJ)
- **Position Summary** Provides expert pharmacy content/professional leadership on complex Sales assignments/projects. Primary responsibility includes working in ... and acumen to advise functional leaders on the value pharmacy brings to the integrated model. Focuses on providing...integrated program + Partner with brokers, TPA, employer groups, benefit consultants, and state and federal government with plan… more
- Amazon (Seattle, WA)
- …member escalations and program performance - Provide consultative SME support in benefit operations, benefits tech, pharmacy procurement, finance, ... operational program management support to oversee execution of Amazon's pharmacy benefit program, evaluating key measures to...and department leads to execute on the vision for pharmacy benefits . This role requires understanding of… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote) **Cost Center:** 682891381 SHP- Pharmacy ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the...is responsible for the daily administration of the SHP pharmacy benefits . This individual works closely with… more
- Henry Ford Health System (Troy, MI)
- JoinHenry Ford Health Community Care Servicesteam as aFull-Time Pharmacy Benefits Specialist!This role offers a$2,500 sign-on bonusandcomprehensive full-time ... Sign on Bonus Location: Troy, MI Schedule: Full- Time Rotating Shifts The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication… 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 ... a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health plans + Experience in formulary management, P&T… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reports to the Manager of Pharmacy Benefits and other delegated pharmacist. Facilitates the operations of the Pharmacy Care Management ... Department by organizing, improving, and implementing pharmacy benefit management policies and procedures. Major...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team… more
- St. Luke's Health System (Boise, ID)
- …colleagues, St. Luke's is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in identifying and navigating complex ... pharmacy benefits management (PBM) and third-party issues... pharmacy benefits management (PBM) and third-party issues such as prior...assist in the training and onboarding of all new pharmacy benefits team members. + Review the… more
- Highmark Health (Charleston, WV)
- …driving client retention and satisfaction by ensuring continuous alignment with Highmark's pharmacy benefit solutions. + Sales, Growth & Financial Acumen: Review ... Analyze customer needs and organizational financial objectives to recommend appropriate pharmacy benefit products and services, including formulary management,… more
- WTW (Cincinnati, OH)
- …variety of complex projects involving design, financing and ongoing management of pharmacy benefit programs. This role that provides excellent opportunities to ... Actuarial and Analytics (FAA) team and closely with the Pharmacy Practice within Health and Benefits . As...pharmacy financial team + Present and explain complex pharmacy benefit financial strategies such as PBM… more
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