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Keywords: CPHT, RPHT, PTCB, EXCPT, prior authorizations, prior auth, coverage determination, denial, denials, appeals, appeal, prior authorization review, coverage determination review, PBM, pharmacy benefit management, certified pharmacy technician, registered pharmacy technician, mail order pharmacy, specialty pharmacy, managed care, MCO, claims, CMS, Medicaid, Medicare, EMR, Electronic Medical Records system.
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Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. The Privacy Manager will receive direction and oversight of work from the Compliance executive team but will also be expected to ascend to serve as the Privacy Officer.
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Long-term value is created through the application of the company's business philosophy of Principle Based Management (PBM) and Georgia‑Pacific's Guiding Principles. Your Job Georgia-Pacific's Continuous Manufacturing Group is seeking qualified candidates to consider for a Utilities Supervisor opportunity at our containerboard mill in Big Island, VA. The successful candidate will be self-motivated, process-oriented, technically competent and customer-focused with a passion for excellence in safety/environmental, reliability, quality and production.
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The mission of the Pharmacy / PBM Pricing Manager at Waltz Health is to use leading data analytics tools to identify, implement, and measure value creation opportunities for consumers and clients looking to save money on prescriptions.
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Overview Responsible for strategic development, execution and support of Payor and PBM contracting for PharMerica Pharmacy business units. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.
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Operational experience with a pharmacy and/or pharmacy benefits manager (PBM) Active affiliations: National Health Care Anti-Fraud Association (NHCAA) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) Certified Professional Coder (CPC) Medical Laboratory Technician (MLT.
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B2B Growth Marketing Senior Advisor - Pharmacy Benefits Management (PBM) - Hybrid JOB DESCRIPTIONThe job profile for this position is Segment Marketing Senior Advisor, which is a Band 4 Career Track Role. ROLE SUMMARY: We are currently seeking a Segment Marketing Senior Advisor aligned to Evernorth, Cigna's Health Services business segment.
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In partnership with enterprises new sales marketing leadership, develop and manage content strategy to support PBM segment and deal level opportunities utilizing primary sales enablement platform, Highspot.
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5 years of Market Access/Sales experience; experience in Marketing, Market Access, Commercial Operations or Sales/Sales Training preferred, with a minimum of 2 years as an FRM or RAM working specifically with PBM medications.
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The Health Policy Director, PBM is responsible for maintaining a portfolio of public policy issues facing the company and leading related activities. Independently manages a portfolio of public policy issues focused on PBM and pharmacy.
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Act as business owner of the contract between Amgen and its customer, specifically owning the contracting strategy and execution of one of the Big 3 (“Mega”) managed care PBM/GPO customers. Pharmaceutical or biotechnology sales and marketing experience.
$149,891 - $184,797 a yearExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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They motivate, coach, and inspire by demonstrating, promoting, and applying Georgia-Pacific's Principle-Based Management (PBM®) in daily actions and decisions to deliver maximum value to the business and our customers.
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Job Title: Pharmacist Business Integration Specialist Location: Raleigh, NC Duration: 12+ Months (Extendable upto 3 years) Type : Contract Job Description: The Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to implementation of the new PBM, in collaboration with the existing pharmacy team.
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Who We Are As a Koch company and a leading manufacturer of bath tissue, paper towels, paper-based packaging, cellulose, specialty fibers, building products and much more, Georgia-Pacific works to meet evolving needs of customers worldwide with quality products.
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As such, the Senior Legal Counsel will leverage general health care law experiences and knowledge, as well as specific knowledge of applicable state and federal laws, including state PBM laws, HIPAA, ERISA, the ACA, and the CAA, to support the business leaders with issue evaluation, contracting, proposing solutions, and more.
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