- Elevance Health (Columbus, OH)
- …location. The ** Compliance Manager ** is responsible for coordinating pharmacy compliance activities and initiatives across the PBM and the enterprise by ... maintaining department-approved regulatory and legislative compliance plan and implementing effective internal controls. **How You Will Make an Impact** Primary… more
- Independent Health (Buffalo, NY)
- …enjoying first-class perks, benefits and commitment to diversity and inclusion. **Overview** The PBM Contract Manager will be responsible for the oversight and ... management of client, vendor and all other business contracts and agreements. The manager will capture, define, and understand the business needs of Pharmacy Benefit… more
- CVS Health (Woonsocket, RI)
- …team, as well as Payer Relations Directors. As the Pharmacy Analytics and Contract Compliance Manager , you will play a key role in providing senior management ... levels of the organization. The Pharmacy Analytics and Contract Compliance Manager is responsible for several financial,...Payer Relations Directors and other Pharmacy Analytics and Contract Compliance Analysts on PBM compliance … more
- Universal Health Services (Reno, NV)
- …Learn more at: https://prominence-health.com/ Job Summary: The Pharmacy Benefit Operations Manager provides supervision of a team in charge of daily, tactical ... will regularly interface with vendors (including the pharmacy benefit manager ), consultants, pharmacies, provider offices, brokers, and members. The Pharmacy… more
- BlueCross BlueShield of North Carolina (NC)
- …and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and other ongoing ... business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business… more
- The Cigna Group (Tampa, FL)
- …and projects, and operations/financial reporting to senior leaders. + Oversees the WC Compliance Senior Manager and Business Project Advisor for State EDI ... + Provides primary leadership for Workers Compensation Compliance . + Provides direction for and is responsible for the output of multiple disciplines within … more
- CVS Health (Cumberland, RI)
- …and further democratize the data within the organization. You will report to the Sr. Manager of PBM Finance Business Intelligence , Analytics , and Automation . ... affordable. Position Description CVS Health offers an exciting opportunity to join our PBM Finance Enablement team , as a Senior Automation Engineer , Intelligent… more
- BrightSpring Health Services (Tempe, AZ)
- …services company, you will be vital in the company's success! The Account Manager of Client Services cultivates and maintains an on-going strategic relationship with ... engagement calls and conducts routine training, providing educational materials to facilitate compliance with PMC procedures, tools and resources + Works with client… more
- CVS Health (Springfield, IL)
- …Summary CVS Health has an exciting opportunity for an Operations Analytical Manager (Individual Contributor) position. You will report to the Director of Analytical ... Ability to be a mentor to less experienced team members to drive compliance for best practices, methods, standards, and processes. Prior experience with PBM… more
- Kedrion Biopharma, Inc. (Fort Lee, NJ)
- The **Corporate Accounts Manager ** serves as the primary point of contact and relationship holder for assigned corporate account customers for Kedrion Biopharma, ... with dotted line to associated Corporate Accounts Director, the Corporate Accounts Manager is assigned to Sub-Group Purchasing Organizations and IDNs within an… more
- CVS Health (Harrisburg, PA)
- …Summary The Senior Manager Business Consulting, will drive and manage broker compliance issues for IFP Sales Operations. This position will function as the point ... compliance project management experience Preferred QualificationsHealth insurance or PBM industry knowledge and experience Education Bachelor's Degree or… more
- Takeda Pharmaceuticals (Columbus, OH)
- …the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts, you will lead the development and implementation of assigned Payer ... and PBM contracts with an emphasis on drafting and editing...contract terms and rebate calculations. + Oversee the agreement compliance process - both performance compliance and… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Employer Account Manager is ... at all levels within an organization + Ability to balance and prioritize compliance , business and other competing goals and risks, while still driving programs and… more
- The Cigna Group (Honolulu, HI)
- **POSITION SUMMARY** Staff Pharmacist, Sr. Manager , Pharmacist In Charge (PIC) Responsible for the management and performance of clinical pharmacy fulfillment ... and external customer service + Align and work with manager on the strategic direction of pharmacy operations +...Keep current on industry trends and regulations and ensure compliance . May hold license for the pharmacy. May represent… more
- CVS Health (Phoenix, AZ)
- …experience working with clients to gain alignment to ensure government program compliance Preferred Qualifications + PBM experience + Sales or Account ... personal, convenient and affordable. Position Summary As a Senior Manager , Client Experience your primary responsibilities are to support...of other health plan clients and to ensure regulatory compliance . To be a candidate for this role you… more
- Wolters Kluwer (Columbus, OH)
- …Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager ** **- Commercial Drug Information** role for **Medi-Span** represents the voice ... matter experts, engineering and sales to define segment-specific (eg Payer, PBM , Life Sciences, etc.) product strategies + Curate relationships with customers… more
- The Cigna Group (Philadelphia, PA)
- The Senior Business Project Manager will provide end-to-end project management for initiatives from inception, through execution, and implementation ensuring all ... initiatives and smaller enhancements in a matrixed environment. The Project Manager aligns to Core Solutions department project delivery best practices, supporting… more
- CVS Health (Scottsdale, AZ)
- …schedule of three days onsite and two days remote per week As a Project Manager within the Pharmacy Services (PS) Finance Innovation and Value Ena bl ement team, ... the RAID. + May review the approach with the manager before engaging colleagues to resolve issues. + Deliver...Sigma + Experience in healthcare industry, including health insurance, PBM or pharmacy services + Experience in highly regulated… more
- Rush University Medical Center (Chicago, IL)
- …and operating metrics. This also includes strict adherence to applicable compliance and regulatory policies, coordination of benefits across primary, and managing ... experience in QS1, SystemOne, and CPR+ billing modules * Experience in PBM payor contracting negotiations **Physical Demands:** * Normal office and clinical… more
- CVS Health (Buffalo Grove, IL)
- …Drug Savings Review, Formulary Alternatives, UMS) and related processes, ensuring full compliance with applicable rules and regulations. This role is responsible for ... its applications. Responsibilities also include interfacing with other leaders ( Manager /Sr. Manager /Director) to support product development, enterprise… more