- Premera Blue Cross (Mountlake Terrace, WA)
- …Pharmacy & Clinical Consulting to drive business outcomes. The ** Director , Pharmacy Operations & PBM Management** will provide direction and oversight ... to access, affordability, quality, and experience, including business performance, clinical pharmacy operations , PBM and vendor oversight, utilization… more
- GEHA (Lee's Summit, MO)
- …customer experience, sustained by a nimble and efficient organization. The Director of Pharmacy Operations & PBM Management will guide and improve our ... to access, affordability, quality, and experience, including business performance, clinical pharmacy operations , PBM and vendor oversight, utilization… more
- The Cigna Group (Bloomfield, CT)
- …Summary:** The Managing Director of the Pharmacy Benefit Management ( PBM ) Customer Service Operations will be responsible for leading and overseeing the ... + Strong problem-solving and decision-making abilities. + Desired strong understanding of PBM operations , pharmacy benefits, and healthcare regulations If… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Director Pharmacy & Quality Operations is responsible for the oversight and ... plan covered lives, and for Martin's Point Mail Order Pharmacy . Director will manage integration of clinical...+ Collaborates across teams to integrate clinical programs within pharmacy operations to improve member outcomes and… more
- Highmark Health (Carson City, NV)
- …to support inputs into financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager ( PBM ), pharmacy Group Purchasing Organization ... renewals and Requests for Proposal (RFPs). + Oversees the pharmacy pricing internal operations including pricing vendor...or Financial Reporting + 5 years of experience in PBM or Pharmacy finance **Preferred** + None… more
- University of Rochester (Rochester, NY)
- …system. **ESSENTIAL FUNCTIONS** **Quality and Safety** + Assures highly reliable, safe pharmacy operations at all UR Medicine outpatient pharmacies, including ... Oversight and management responsibilities relative to budget performance for all Ambulatory Pharmacy operations . Budget variances are identified and reported to… more
- Penn Medicine (Philadelphia, PA)
- …ambulatory facilities while ensuring adherence to established annual budgets.Oversee day-to-day pharmacy operations within the designated geographic areas to ... each day. Are you living your life's work? **Summary:** + The Associate Director ("AD") will assist in the planning, development, coordination and administration of… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …benefits consulting or experience within a provider organization + Expertise in PBM operations , plan design, industry compliance, and clinical cost-containment ... landscape. In this high-impact role, you'll work alongside our Director of Pharmacy , leveraging your expertise to...+ Serve as a strategic advisor to clients on pharmacy benefits design, utilization, PBM performance, and… more
- Mount Sinai Health System (New York, NY)
- …benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional pharmacy Non-Bargaining Unit, ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy , the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. (CPht) Certified Pharmacy Technician preferred. 2. Call center, Pharmacy data entry, and PBM billing experience. 3. Bilingual verbal and ... facility in Westwood, MA, provides state of the art pharmacy services to our systems patients and employees. We...in an accurate and timely manner. 2. Resolves all PBM related billing problems and issues. 3. Handle phone… more