- Elevance Health (Atlanta, GA)
- ** PBM Compliance Manager ( Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... for employment, unless an accommodation is granted as required by law. The ** PBM Compliance Manager ( Claims Audit)** is responsible for coordinating… more
- Elevance Health (Atlanta, GA)
- …Management** is responsible for managing contracts and relationships with PBM vendor. Developing relationships with external vendors and internal stakeholders. ... large commercial client relationships, ensuring service excellence and contract compliance . + Act as an executive-level liaison for key...a BA/BS and a minimum of 5 years of Pharmacy/ PBM experience; or any combination of education and experience… more
- Prime Therapeutics (Atlanta, GA)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Elevance Health (Atlanta, GA)
- …duties may include, but are not limited to:** + Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy ... delivery of standard and custom reports for internal and external clients, such as claims , drug utilization and impact reports to our clients in compliance with… more