- Intermountain Health (Murray, UT)
- **Job Description:** Join Scripius, a rapidly growing and innovative PBM subsidiary of Select Health Scripius is a full service transparent PBM that is ... to oversee the creation of marketing brochures and member communications . It ensures the end products portray the expected...to innovate and push ideas to change the current PBM landscape. We need people that are skilled technical… more
- BrightSpring Health Services (Englewood, CO)
- …and healthcare professionals. Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies ... identifies documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality...to type 40+ WPM. + Strong verbal and written communication skills with the ability to independently obtain and… more
- Insight Global (St. Paul, MN)
- Job Description Insight Global is seeking a Provider Relations Specialist to join one of our large PBM clients. The Provider Relations Specialist is ... in Primes pharmacy networks and ensuring the information provided during outbound communications is accurate and delivered in a timely manner. This position is… more
- Novant Health (Winston Salem, NC)
- **Overview** **NOVANT CORPORATE PHARMACY** **PHARMACY BENEFITS SPECIALIST ** Novant Health is an integrated system of physician practices, hospitals, outpatient ... their journey to health and wellness. The Pharmacy Benefits Specialist at Novant Health works closely with the Pharmacy...Novant Health works closely with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and the People and Culture team… more
- St. Luke's Health System (Boise, ID)
- …are looking for an RN Quality Specialist to join our Patient Blood Management ( PBM ) program, under the leadership of the PBM Quality RN Manager. Are you an ... this may be the role for you! St. Luke's Patient Blood Management ( PBM ) is an interdisciplinary, patient-centered program for optimizing patient Blood Health through… more
- Adecco US, Inc. (Cambridge, MA)
- …process that requires a high level of organization and strong communication skills. The Reimbursement Support Specialist follows standardized workflows ... Healthcare & Life Sciences is hiring a contract hybrid Reimbursement Resource Specialist for our Pharmaceutical partner in Cambridge, MA. The anticipated hourly wage… more
- Prime Therapeutics (Pierre, SD)
- …passion and drives every decision we make. **Job Posting Title** Sr Resolution Specialist **Job Description** The Resolution Specialist Sr is responsible for ... for pharmacy termination process + Create, edit and send termination communication to plans, pharmacies and/or PSAOs (Pharmacy Services Administrative Organization)… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …for the entry of new client data or changes to existing clients into the PBM adjudication platform. Translates client benefit needs into the PBM platform and all ... our formulary and benefit configurations as designated by BOM, via approved communication channels such as Clinical, Pricing, Benefit Review Team, Eligibility, and… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... standards + Conveying resolution to beneficiary or provider via direct communication and professional correspondence + Acquiring and maintaining basic knowledge of… more
- Elevance Health (Atlanta, GA)
- **CarelonRx Sales Strategy Specialist ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... PulsePoint locations listed on the requisition. The **CarelonRx Sales Strategy Specialist ** responsible for supporting the new sales and business development process… more