- 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 ... with a collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Prime Therapeutics (Austin, TX)
- …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 (Grand Prairie, TX)
- …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... benefit management and pharmacy operations teams. + Ensures compliance of the Medicaid formularies with state/federal mandates and...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more