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$90.9k - $129.9k
...company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a PBM / Healthcare Manager at Gainwell, you will lead quality assurance efforts for a complex Fraud, Waste, and Abuse (FWA) solution, ensuring...SuggestedFull timeRemote workFlexible hours$69.4k - $99.2k
...premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst - Pharmacy Benefit Management (PBM) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-...SuggestedFull timeRemote workFlexible hours$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$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$69.4k - $99.2k
...managing complex projects, programs or initiatives through a full project management life cycle, with 3 or more years of Medicaid and PBM experience preferred ~ Experience working change management processes and NCDP is preferred ~ Strong knowledge in project...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$31.4k - $44.8k
...active, current Pharmacy Technician registration with the Mississippi Board of Pharmacy. As a Pharmacy Technician supporting our PBM clinical and technical call center, you’ll combine pharmacy knowledge with call center operations to assist members, medical...SuggestedFull timeRemote workFlexible hours$39k - $52k
...support accurate program administration. This opportunity is ideal for an experienced Certified Pharmacy Technician with managed care, PBM, health plan, or pharmacy-benefit experience who is comfortable serving as a pharmacy program resource. Your role in our mission...SuggestedFull timeRemote workWork from homeMonday to FridayFlexible hours$20 - $40 per hour
...registration or licensure where required. ~3 years of pharmacy technician experience ~2 years of experience at a pharmacy benefit manager (PBM) supporting clinical services, such as utilization management, coverage review, or prior authorization resolution. ~ Demonstrated...SuggestedHourly payContract workLocal areaRemote workMonday to FridayShift work$64.89k - $173.04k
...relational databases and SQL concepts for data extraction, validation, and analysis. Preferred Qualifications Experience in PBM, healthcare, health plan, or underwriting/pricing environments. Experience working with large datasets and performing reconciliations...SuggestedHourly payFull timeTemporary workLocal areaShift work$108.5k - $155k
...program management. ~7+ years of experience supporting large-scale healthcare technology programs, including Medicaid, MMIS/MES, PBM, system implementation, modernization, or related healthcare delivery initiatives. ~ Demonstrated experience leading PMO governance...SuggestedFull timeRemote workFlexible hours$46.99k - $122.4k
...you will support key underwriting and financial analysis activities. This role will manage vast, complex Pharmacy Benefit Management (PBM) pricing strategies and pricing deployment designed to meet the business needs of the CVS Health Enterprise (PBM and Aetna as the...SuggestedHourly payFull timeContract workTemporary workLocal area$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. This is a hands-on product leadership role...SuggestedFlexible hours- ...learning, and career development. Summary As a Senior Certified Pharmacy Technician in Gainwell’s Pharmacy Benefits Management (PBM) Clinical and Technical Call Center, you’ll serve as a subject matter expert supporting members, medical providers, and pharmacy...SuggestedFull timeRemote workFlexible hoursShift workNight shiftAfternoon shift
$38.4k - $54.9k
...to work more flexible hours. As a Prior Authorization Pharmacy Technician - Remote, you will support our pharmacy benefit management (PBM) services by managing incoming provider inquiries, processing prior authorizations, and ensuring accurate and timely communication....SuggestedFull timeWork at officeRemote workFlexible hours$46.99k - $91.8k
...and one community at a time. Position Summary We are seeking a Regulatory Filing Specialist to support Pharmacy Benefit Manager (PBM) licensing and regulatory reporting activities. In this role, you will help ensure compliance with state and regulatory requirements,...Hourly payFull timeTemporary workWork experience placementLocal area$113.7k - $162.4k
...data, and maintain accurate analytical documentation. 5+ years of pharmacy experience, including Medicaid pharmacy, managed care, PBM operations, formulary management, or related areas. ~ Strong knowledge of Medicaid pharmacy programs, including PDLs, utilization management...Full timeRemote workFlexible hours- Gainwell Technologies is seeking a Senior Certified Pharmacy Technician for its PBM Clinical and Technical Call Center. You will act as a subject matter expert assisting members, providers, and pharmacy providers with complex benefit questions and access needs. Role involves...Remote job
- Navitus Health Solutions is seeking an Assistant General Counsel for Archimedes to join our legal team in Columbus, Ohio. This role reports to the Chief Legal Officer and leads a team of attorneys and paralegals that provide day‑to‑day legal support for Archimedes. You ...
$750 per month
...to profitably expand the scope of high net rebates and discounts that are obtained for the ultimate creation of the lowest net cost PBM for Navitus’ clients Lead, train and develop the team of Navitus Contractors to allow for career development Other duties as assigned...Contract workFor contractorsRemote workFlexible hours- ...forecasting, and drive value for clients. Expect cross-functional collaboration with Pharma and Drug Information teams. The role emphasizes strategic contract structuring, P&T support, and leadership development in a fast-moving PBM environment. #J-18808-Ljbffr NavitusRemote jobContract workFor contractors
$750 per month
Overview Due to continued growth, we are adding an experienced leader with deep Pharmacy Benefit Management (PBM) expertise and a strong background in pharmacy reimbursement, network pricing, and Maximum Allowable Cost (MAC) pricing strategies to our growing team. The ideal...Contract workWork experience placementRemote workFlexible hours- Gainwell Technologies LLC is seeking a Senior Certified Pharmacy Technician for its PBM Clinical and Technical Call Center. This role focuses on delivering expert support to members, providers, and pharmacy partners across multiple channels, resolving complex benefit questions...Remote job
- CVS Health is seeking a Strategic Proposal Management professional in Ohio to own the PBM proposals process, coordinate with stakeholders, and tailor responses to client needs. The role emphasizes timely delivery, quality content, and cross-functional collaboration across...Work at office
- Gainwell Technologies is seeking a Pharmacy Technician to support our PBM clinical and technical call center in a fully remote role for Mississippi residents. You will combine pharmacy knowledge with call-center operations to assist members, medical providers, and pharmacy...Remote job
$31.4k - $44.8k
...active, current Pharmacy Technician registration with the Mississippi Board of Pharmacy. As a Pharmacy Technician supporting our PBM clinical and technical call center, you’ll combine pharmacy knowledge with call center operations to assist members, medical...Full timeRemote workFlexible hours- ...and data-driven insights, we empower healthcare providers to achieve both operational excellence and clinical outcomes. As a Health PBM Operations Manager, your primary responsibilities may include: Conduct assessments of clients' PBM operations to identify areas for...Live inWork at officeLocal areaWorldwide
Accenture
Cleveland, OH2 days ago $5,000 per month
...affiliate of PharMerica, is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services - offering hospices nationwide flexible and adaptable solutions for their hospice pharmacy needs. OnePoint fills...Local areaFlexible hoursShift workDay shift$160k - $200k
...meaningful impact on the future of packaging. What You Will Do Build and develop a world-class team while strengthening and advancing our PBM culture to positively impact our community, customers, and employees. Cultivate a safety-first environment to ensure an injury-free...Temporary workWorldwideFlexible hours$43.89k - $102.08k
...better health. We effectively manage pharmaceutical costs and improve health care outcomes through our pharmacy benefit management (PBM), mail order and specialty pharmacy division, CVS Caremark® Pharmacy Services, our CVS/pharmacy® retail stores, our retail-based medical...Hourly payFull timeTemporary workSecond jobWork at officeLocal area
