• PBM Compliance Manager…

    Elevance Health (Mason, OH)
    ** 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 (07/29/25)
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  • Pharmacy Claims Auditor - Remote

    Prime Therapeutics (Columbus, OH)
    … claims , educating Prime's network pharmacies and driving contract compliance , and supporting downstream claim corrections and eliminate potential waste. ... drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy ...in the state where position is located + Previous PBM experience **Minimum Physical Job Requirements** + Ability to… more
    Prime Therapeutics (07/25/25)
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  • Pharmacy Benefit Manager Data Analyst…

    CVS Health (Columbus, OH)
    …member accumulators. + Audits HRA overages and coordinates adjustments for any impacted claims . + Communicates with internal partners and PBM vendors, addressing ... do it all with heart, each and every day. **Position Summary** The ** PBM Data Analyst** performs prescription claim and accumulator audits, verifies policy coverage,… more
    CVS Health (07/18/25)
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  • Sr. Functional Bus Consultant ( Compliance…

    Prime Therapeutics (Columbus, OH)
    …in Microsoft Word, Excel, Project, PowerPoint, and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + ... every decision we make. **Job Posting Title** Sr. Functional Bus Consultant ( Compliance ) - Remote **Job Description** The Senior Functional Business Consultant The… more
    Prime Therapeutics (07/24/25)
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