- 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
- CVS Health (Cumberland, RI)
- …agencies and their contracted auditing organizations. As a Senior Manager , PBM Market Conduct Exam Support within Corporate Compliance , you will: + ... and two days from home per week The Corporate Compliance PBM Business Compliance Office...dynamic individual to join our team in a Senior Manager role. This position will perform highly complex support… more
- CVS Health (Scottsdale, AZ)
- …convenient and affordable. Position Summary Caremark is the nation's leading pharmacy benefit manager ( PBM ). We work to ensure the path to better health ... to ensure compliance . + Acquiring and maintaining leading-edge knowledge of PBM plan management strategies and solutions. + Participating in external client and… 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 (Phoenix, AZ)
- …Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management ( PBM ) Strategic Initiatives team? This high impact, high visibility role is critical ... under Client Financial Analysis & Optimization (CFAO). As a Manager on CFAO's Program and Project Management Team, you...delivery of all assigned projects, within scope and in compliance with CVS Health requirements + Leading and facilitating… 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
- CVS Health (Woonsocket, RI)
- …development, and implementation of the health services programs offered to PBM clients. In collaboration with the broader Care Management organization, we ... cost, better outcomes, and better consumer experience. The Product Development Manager will be responsible for providing innovative insights and next-gen analysis… 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
- Independent Health (Williamsville, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Manager -Marketing Strategy & Communications is responsible for playing the lead role ... coordinated message that supports the brand and meets goals and objectives. The manager is responsible for the successful, on time, on-target and on budget… 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
- 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
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of EGWP programs through ProAct. Responsibility for the understanding and compliance of benefit designs, system management of formularies, eligibility, claims and ... Provide oversight of operational activities of Medicare Part D/EGWP programs + Ensure compliance with CMS rules and regulations surrounding Medicare Part D + Support… more
- Healthfirst (NY)
- …policies for all lines of business. + Performs operational and clinical oversight of PBM (Pharmacy Benefit Manager ) data and activities. + Develops strategies to ... state legislation and supports pharmacy benefit-related audits. + Assists in regulatory and compliance audits for all assigned NYS regulated plans + Acts as Pharmacy… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. Position Summary As the Senior Manager for Client Implementations, you will lead and manage client implementation ... development of implementation tools and staff as assigned. Contractual compliance , organizational risk identification/mitigation, escalated issue resolution, and sales… 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