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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.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Experience in Healthcare analytics (preferably PBM Analytics), Clinical Outcomes, Real World Evidence, Care Management Programs. Deep healthcare data experience (e.g., PBM experience, Provider Networks, Billing, Medical and Pharmacy claims), statistical analysis experience, and an understanding of all the associated clinical, utilization and financial levers.
Work from homeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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BS/MS/PhD in Econometrics, Actuarial Science, Data Science, Health Outcomes, Epidemiology, Statistics, or in any technical field that provides a solid basis for analytics highly desired. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
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The Data Science Advisor - Clinical Outcomes Research position is an opportunity to provide leadership on complex analytics projects and initiatives supporting the Integrated Pharmacy and Specialty Analytics team.
Full-timeWork from homeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Utilization of PBM and Frameworks to proactively support the development and execution of improvement plans for the Pulp and Paper Manufacturing site's steam generation equipment including power boilers, recovery boilers and associated auxiliary equipment.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Review department BOB to include review of renewals for fully insured, TPA, stop loss, PBM coverages, cost, and contract terms to ensure standards are met, determines trends, sets expectation and provide communications internally and externally.
$80,000 - $100,000Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Scope of primary planning responsibilities include Evernorth Finance (including Evernorth Underwriting, Pricing, PBM FP&A, Client Audit, RCM, Strategy and HD & Specialty Finance), Cigna Treasury, Enterprise Bank Fees, and Investor Relations.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Sr. Counsel – Health & Wellness Legal, Pharmacy role is critical as in this role you will work on the pharmacy legal team assisting colleagues as well as the business on drafting, editing, and negotiating agreements, particularly complex agreements such as: pharmacy benefit manager (PBM) agreements, merchandising, and wholesaler agreements for the purchase of pharmaceuticals.
$130,000 - $260,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Preferred: PBM/Health Plan experience evaluating and reviewing Prior Authorization Specialty Pharmacy experience MTM certification, or other specialty certifications Benefits and Perks: At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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This IPM will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc.
$90,943 - $122,745 a yearRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Develop financial modeling to support contract strategy and roadmap development for PBM/GPO RFP's; includes Commercial, Part D, Medical benefits. Develop pricing and contract analytics for PBM/GPO agreements for currently marketed in-line products, pipeline products or products being evaluated for acquisition.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Strong technical knowledge in Self-funding (administration, stop loss, captives and PBM) We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Deep understanding of the pharmacy benefit management and US healthcare ecosystems, either at a PBM, health plan, health tech company or as a benefits consultant. Pharmacy Benefits Manager (PBM) vendor procurement and negotiation.
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The PBM Operations Analyst Sr. will focus on establishing and refining operational processes related to CMS and State requirements for Medicare and Medicaid products. Seven (7) years of professional experience in pharmacy at a health plan or PBM.
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Comply with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. Six months experience as a Pharmacy Assistant within the UPMC Health System.
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