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$148k - $205k
...more about us by following us on LinkedIn or visiting Prescryptive.com. About this role This is a hands-on technical role for a PBM data integration expert who also owns program delivery. You’ll profile, map, and validate claims, eligibility, and accumulator data,...Suggested$46.99k - $122.4k
...part of something bigger - helping to simplify health care one person, one family and one community at a time. The Senior Analyst, PBM Contract Manager role applies complex financial, contractual, and business strategies to large, high-impact agreements negotiated...SuggestedHourly payFull timeContract workTemporary workWork experience placementWork at officeLocal area$750 per month
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new...SuggestedRemote workFlexible hours$750 per month
...About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need...SuggestedContract workRemote workFlexible hours$46.99k - $122.4k
...time. Position Summary Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and...SuggestedHourly payFull timeTemporary workWork experience placementLocal area$750 per month
...Bachelor’s degree preferred. ~ CPhT preferred. ~2 years’ experience in a managed care, specialty pharmacy, customer service, or PBM environment required. ~ Experience in a call center environment preferred. ~ Direct leadership or coaching / mentoring...SuggestedTemporary workRemote workFlexible hours$165.75k - $243k
...hospital systems, Acute Care Group Purchasing Organizations (eg, Vizient, Premier or HealthTrust), Federal accounts (eg, National VA PBM, National DHA (DoD) Pharmacy Operations Division, Veteran Integrated Service Networks (VISNs), Key VA and DHA (DoD) institutions, Indian...SuggestedTemporary workFlexible hours$177.5k - $222.5k
...Claims Platform) who brings deep experience developing pharmacy claims adjudication technology, understands how it works in a real-world PBM environment, and wants to help advance sophisticated pharmacy transaction capabilities. You'll work closely with engineering and...SuggestedFlexible hours$101.34k - $126.67k
...About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need...SuggestedFull timeRemote workFlexible hours$43.89k - $102.08k
...As an Account Manager, you are considered the clients main point of contact and are responsible for overseeing all their day-to-day PBM operations. Account Managers act as the liaison between clients and cross-functional internal teams and are responsible for ensuring...SuggestedHourly payFull timeTemporary workFor contractorsWork experience placementLocal areaNight shift- ...Pharmacy & Therapeutics (P&T) Committees on formulary decisions. # Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards. # Provide clinical support for utilization management, prior-authorization criteria, and step-therapy...SuggestedRemote work
- ...curious, take ownership, continuously learn, and seek better ways to operate. What You Will Do Apply Koch's Principle Based Management™ (PBM) philosophy by demonstrating integrity, accountability, respect, and sound decision-making while operating safely and responsibly....SuggestedWork experience placementFlexible hoursShift workNight shiftRotating shift
$113.4k - $194.4k
..., including required reporting, submissions, audits, transparency requests, and documentation. Collaborate with pharmacy vendors, PBM partners, provider organizations, and other external stakeholders to support effective pharmacy program operations and performance....SuggestedWork experience placementWork at office3 days per week$750 per month
..., product development, project management, or related experience, preferred. Experience in healthcare, pharmacy benefit management (PBM), biomedical, or digital health industries is preferred. Participate in, adhere to, and support compliance program objectives. The...Suggested- ...client and consultant to stay within the executed contract. Must be knowledgeable of all State and government regulations related to PBM operations. Partners with multiple business units and teams to ensure the accuracy of claims adjudication set ups. Understands,...Suggested
$160k - $210k
...Driving new relationships and sales Designing and executing on innovative engagement design and approaches Pharmacy Benefits Manager (PBM) vendor procurement and negotiation Audits of PBM performance (financial and operational) Plan analysis, design, cost-savings and...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$113.4k - $194.4k
...Policies and Procedures related to pharmacy regulatory processes. Delegate Oversight Oversee clinical review activities delegated to PBM and Medical Drug Vendor. Provide oversight of clinical services and programs delegated to PBM and medical drug vendor. Assist...Work experience placementWork at office3 days per weekMedica Services Company LLC
Omaha, NE27 days ago- ...You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active U.S. pharmacist license. Experience: Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. Skills:...Remote jobWork from home
$15 per hour
...team effort including being in uniform, dependable and on timeTreat all co-workers and customers with courtesy and respectServiceMaster PBM of Lincoln offers many benefits, including:Gift Card Incentive ProgramHiring BonusFlexible SchedulesReferral Bonus...Hourly payExtra incomeFull timePart timeFlexible hoursAfternoon shiftIICRC
Lincoln, NE2 days ago- ...that fosters understanding among internal partners and clientsGood business acumen and basic understanding of the business processes of PBM servicesGood decision-making skills, including problem-solving skills, problem analysis and discernment under pressureGood planning,...
MedImpact
Fremont, NE1 day ago $750 per month
...experience in product management, product development, project management, or related experience, required. ~ Experience in healthcare, PBM, biomedical, or pharmaceutical industries, preferred. ~ Participate in, adhere to, and support compliance program objectives. ~...Work experience placementRemote workFlexible hoursNavitus
Lincoln, NE1 day ago
