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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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Understand, apply, and promote PBM and guiding principles to direct reports and cascade throughout entire team. Molex is looking for a District Sales Manager for Minnesota, Wisconsin, North Dakota, South Dakota, and Iowa. The District Sales Manager will be responsible for profitable year over year revenue growth that exceeds the market growth rate in highly competitive electronics industry.
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Facilitate process for clinical & benefit overrides, Step Therapy and prior-authorization efforts in the PBM claims systems for Utilization Management (UM) and Clinical Services. Retail, Hospital, Specialty Pharmacy, PBM, Health Plan experience.
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Legislation; and/or managed care experience (HMO, MCO, PBM, etc.) legislation; and/or managed care experience (HMO, MCO, PBM, etc.) Preferred Education: Advanced degree in life sciences (PharmD or PhD.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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As a Pharmacy / PBM Pricing Manager, your activities will be centered around navigating the nuances of drug pricing data through technology and analytics to provide accurate and actionable insights to Waltz, our clients, and our partners.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This position will serve as an Associate General Counsel to CarelonRx, a pharmacy benefits manager (PBM) owned by Elevance Health, Inc., providing support on a variety of legal matters primarily to PBM's mail order and specialty pharmacies.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Pharmacy / PBM Pricing Manager. Pharmacy / PBM pricing. The Pricing Manager will work with variety of technology systems spanning across the whole organization (Snowflake, PostgreSQL, Tableau, Microsoft DevOps, Atlassian, etc.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Job Summary This Certified Pharm Tech will be responsible for development and maintenance of reporting, data analysis, assisting with projects, investigating and resolving operations inquiries for audits, privacy disclosures and system access to pharmacy PBM (PRIME.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth running for retail store operations. Desirable Skills: Excellent team playerExcellent communication skillsExperience working in onshore/offshore model.
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Knowledge of specialty pharmacy and/or PBM processes preferred. Assist in client’s Pharmacy Benefit Management (PBM) RFP process. Prepare comparisons of various PBM contracts. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint – we’re working together as ONE to build a better future.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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We effectively manage pharmaceutical costs and improve health care outcomes through our pharmacy benefit management services (PBM) – CVS Caremark, our mail order and specialty pharmacy division, our CVS Pharmacy retail locations, our retail-based medical clinic subsidiary, MinuteClinic and our online retail pharmacy, CVS.com. We are focused on enhancing access to care, lowering overall health care costs for plan members and payors, and improving health outcomes.
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Determines patient’s drug coverage as major medical or PBM and follow appropriate path to obtain authorization and patient’s financial responsibility. The Intake Coordinator is responsible for obtaining complete and accurate patient insurance verification and authorization to support the provision of care and services.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Associate VP, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support and strategy to ensure positive patient experience.
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In this role, you will be responsible for coordinating and executing account-level client engagements to ensure rapid profitable formulary access for Inpefa, a recently approved treatment for heart failure, in both National and select Regional Accounts and/or PBM downstream accounts.
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Healthcare data, claims data, PBM experienceSolution oriented, creative thinkingSelf-learner, ability to work independently and lead the learning and work of othersSystematic thinker with strong technical aptitude and is extremely detail oriented.
Full-timeExpandApply NowActive JobUpdated 10 days ago
pbm job in Chicago, IL
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