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$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 between...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$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$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- ...financial skills, with the ability to evaluate pricing, costs, and operational performance. Experience in pharmacy benefit management (PBM), managed care, hospice or palliative care, or specialty pharmacy networks preferred. Why Pharmacy Network Consultants are...SuggestedContract workRemote work
$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$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$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$46.99k - $91.8k
...one person, one family and one community at a time. 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,...SuggestedHourly payFull timeTemporary workWork experience placementLocal area$21.5 per hour
...Pharmacy Technician (CPhT) license in good standing preferred ~2+ years of pharmacy technician data entry experience; managed care or PBM experience preferred ~ Strong understanding of pharmacy benefit design, formularies, and claim adjudication ~ Excellent...SuggestedLocal areaRemote workShift work$144.2k - $288.4k
...analysis skills. ~ Exceptional communication, stakeholder management, and executive presentation skills. Preferred Qualifications PBM, Healthcare, Underwriting, Pricing, Forecasting, Actuarial, or Financial Analytics experience. Experience validating underwriting,...SuggestedHourly payFull timeTemporary workLocal areaFlexible hours- ...Job Responsibilities: ~ Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing. Ability to work in a fast-paced environment, handling both inbound and outbound calls...Suggested
$53 per hour
...Job Requirements: Pharmacist license in state of residence, active and in good standing Prior authorization experience in PBM or managed care environment Experience in PBM, Managed Care, or VA Veterans Hospital Job Responsibilities Consult physicians...SuggestedRemote jobHourly payPermanent employmentContract workWork from homeMonday to FridayA-Line
Nashville, TN3 days ago- ...organizational skills with the ability to manage multiple priorities independently. Experience in pharmacy benefit management (PBM), managed care, hospice or palliative care, or specialty pharmacy networks preferred. Why Pharmacy Network Consultants are important...SuggestedFull timeContract workRemote work
$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,...SuggestedHourly payFull timeTemporary workWork experience placementLocal area$87.68k - $131.52k
Anticipated End Date:2026-10-31Position Title:PBM Business ConsultantJob Description:PBM Business Consultant Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity...Temporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per weekCareBridge
Nashville, TN3 days ago- ...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
Nashville, TN2 days ago $21 per hour
...administrative workflows supporting prior authorization requests and appeals. Pharmacy Claims Processing: Navigate pharmacy benefit manager (PBM) systems to enter, troubleshoot, and resolve pharmacy claim overrides. Outbound Communications: Communicate with prescribers,...Hourly payPermanent employmentFull timeContract workMonday to Friday- ...Responsiblities: \n 1. Prepare reports and attend meetings to support current and new model business performance (NPL. 5ZQA, VA, PBM, Program Reviews, Task Force…) \n 2. Design, spec, procure, implement, and provide basic line support for new model processes, tooling...
Highly Marelli USA, Inc.
Shelbyville, TN20 days ago - ...track record of successfully building, enhancing, and supporting Salesforce environments. Experience within healthcare, pharmaceutical, PBM, or other highly regulated industries preferred. Strong understanding of Salesforce configuration, automation, data management,...Immediate start
- ...Bachelor's Degree in Business Administration, Healthcare Management or a relevant field 3+ years experience managing the full lifecycle of PBM implementation, from sales hand-off to support post-go-live Ability to lead multiple complex implementation projects simultaneously...Shift work
- ...strategic Vice President of Pharmacy Operations to spearhead the establishment and management of its in-house pharmacy benefit management (PBM) function. The successful candidate will be responsible for leading the transition from outsourced PBM services to an internally...
- ...contacts in the healthcare sector is essential, and experience in digital health, academic medicine, employee health benefits, or pharma/PBM industries is a plus. The VP of Business Development at the company will be part of a collaborative and transparent organization that...Interim roleRemote work
$85.39k - $116.98k
...99/277CA transactions Knowledge of HIPAA compliance requirements in cloud data architecture Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations AWS certification in a bonus Formal Education Bachelor’s degree in Computer Science...Full timeRemote workSyms Strategic Group, LLC (SSG)
Madison, TN7 days ago- ...Pharmacy Technician with a state board of pharmacy A minimum of 2 years of experience in operational pharmacy benefits (health plan or PBM), clinic setting, high volume call center, or retail pharmacy eClinicalWorks or similar EMR experience Experience working with...Work at office
- ...proven track record of established manufacturer and biopharmaceutical relationships. The ideal candidate will have experience in PSAO/PBM, GPO, rebate, market access, or specialty pharmacy, and possess executive-level negotiation, leadership, analytical, and...
$85.39k - $116.98k
...transactions ~999 transactions Knowledge of HIPAA compliance requirements in cloud data architecture Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations AWS certification in a bonus Formal Education Bachelor’s degree in Computer...Full timeRemote work$17.69 - $36.18 per hour
...Preferences ~1+ year experience of high-level of PAP, Grant and Foundation experience required. ~1+ year experience of high-level PA, PBM, FA, 340B experience required. ~ State Licensure in the Supported State. Ascension is a leading nonprofit Catholic health...Full timePart timeLocal areaRemote workMonday to FridayDay shift- ...Specialist is to review, process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations. Verification Specialist Roles and Responsibilities: Verifies benefit coverage and as appropriate, financial...Work from home
$190k - $225k
...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...Full timeTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
