• PBM Compliance Manager…

    Elevance Health (Grand Prairie, TX)
    ** 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)
    - Related Jobs

  • Pharmacy Claims Auditor - Remote

    Prime Therapeutics (Austin, TX)
    … 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)
    - Related Jobs

  • Pharmacy Benefit Manager Data Analyst…

    CVS Health (Austin, TX)
    …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)
    - Related Jobs

  • Sr. Functional Bus Consultant ( Compliance…

    Prime Therapeutics (Austin, TX)
    …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)
    - Related Jobs

  • Senior Reporting Analyst

    CVS Health (Irving, TX)
    …set, and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful in this ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst...Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate… more
    CVS Health (07/09/25)
    - Related Jobs

  • Health & Group Benefits Consulting Senior…

    Deloitte (Fort Worth, TX)
    …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... Advise clients on industry trends, best practices, regulatory updates, and compliance deadlines. + Evaluate vendors by reviewing services, contracts, performance… more
    Deloitte (07/31/25)
    - Related Jobs

  • Pharmacy Customer Associate III - Benefit…

    Elevance Health (San Antonio, TX)
    …volumes, update patient records, and liaise with team members to secure paid pharmacy claims . **How you will make an impact:** Primary duties may include, but are ... + Oversee prescription processing with accuracy, maintaining confidentiality and HIPAA compliance , while ensuring coordination of patient care and adherence to 340B… more
    Elevance Health (07/10/25)
    - Related Jobs