Briljent: Provides training, change management, and government consulting services.
7+ YOERequires 7+ years of project management and PBM Medicaid experience, healthcare implementations, workstream and vendor management, Microsoft Project, PDL, prior authorization, ePA, DUR, RAID, and PMBOK expertise. PMP preferred.
Microsoft Project, Project Management Body of Knowledge (PMBOK), Preferred Drug List (PDL), prior authorization (PA), electronic prior authorization (ePA), drug utilization review (DUR), Risks, Actions, Issues, and Decisions (RAID), Centers for Medicare and Medicaid Services (CMS)
Pharmacy Market Manager, West Region - Cigna Healthcare - Remote
United States or Arizona or California or Nevada or Washington
$122k-$203k/yrRemoteFull Time
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
5+ YOE5+ years PBM experience, pharmacy subject-matter expertise, PBM pricing/contracting knowledge, consultative sales and client management skills, people management experience, Microsoft Office proficiency, willingness to travel up to 50%.
Arizona or Montana or Utah or Nevada or New Mexico or Wyoming or Washington or Oregon or Idaho or Colorado or California
$57k-$71k/yrRemoteFull Time
RxBenefits: Optimizes pharmacy benefit plans for employers to reduce costs.
3+ YOEAssociate or bachelor's degree, 3+ years in account management or implementation in PBM, pharmacy, hospital, or healthcare, plus Microsoft Office proficiency and strong communication, analytical, and organizational skills.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Microsoft OneNote, Salesforce, Spring Health
Dallas or Hartford or Minneapolis or Phoenix or Tampa or United States
$60k-$107k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
High school diploma/GED, age 18+, partner collaboration, pricing explanation, intermediate Microsoft Excel skills, and weekday schedule flexibility. Healthcare, PBM, database, and finance experience preferred.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
4+ YOE4+ years pharmacy or benefits verification experience, pharmacy registration as required by state law, leadership experience; knowledge of PBM/medical contracts, Medicare/Medicaid, NCPDP claim resolution, authorization management.
El Rio Health: Providing integrated primary medical and dental healthcare services.
3+ YOEHigh school diploma, BLS, Level I fingerprint clearance, 3+ years working with insurance/PBM, 2+ years processing prior authorizations, familiarity with EPIC, valid driver’s license and reliable transportation.
Scottsdale or Wichita or Sioux Falls or Dallas or Tulsa or Houston or San Antonio or Oklahoma City or Cheyenne or Boise or Omaha or Albuquerque or Fargo or Austin or Billings or Minneapolis or St. Louis or Salt Lake City or Kansas City
HybridFull Time
Hub International: Provides global insurance brokerage and risk management services.
8+ YOEBS Pharmacy or PharmD required (PharmD preferred); 8+ years in employee benefits and/or pharmacy industry with prior brokerage experience; 3+ years PBM advising; strong analytics, presentation, communication, and sales skills.
St. Louis or Brentwood or United States or Alaska or Arizona or Arkansas or California or Connecticut or Delaware or Hawaii or Idaho or Louisiana or Maine or Massachusetts or Michigan or Mississippi or Montana or Nebraska or Nevada or New Mexico or New York or North Carolina or North Dakota or Oregon or Rhode Island or South Carolina or South Dakota or Texas or Utah or Vermont or Washington or West Virginia or Wyoming
RemoteFull Time
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
4+ YOEBachelor's degree or equivalent experience, 4 years product management/product development experience, experience in PBM/healthcare/health plan/pharmaceutical industry, cross-functional collaboration and strategic product planning skills.
Everise: Global provider of technology-enabled customer experience and outsourcing solutions.
3+ YOEBS Pharmacy or PharmD, active Arizona or Texas pharmacist license, 3+ years PBM/specialty/pharmacy/participant services experience, leadership experience, proficiency with Microsoft Office/Excel and pharmacy systems, HIPAA/CMS compliance.
United States or Cambridge or Alaska or Hawaii or Washington or Oregon or Idaho or Montana or Wyoming or North Dakota or South Dakota or Minnesota or Nebraska or California or Nevada or Utah or Colorado or Arizona or New Mexico or Texas or Michigan or Tennessee
$223k-$265k/yrFieldFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's degree required; 10+ years in pharma/biotech and 5+ years managing national/regional payer and PBM accounts. Experience with rare disease/specialty launches, payer engagement, strategic planning, and ability to travel 25–50%.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
3+ YOEBachelor's degree or 4 years' experience; 3+ years in PBM/payer/pharmacy consulting with healthcare data focus; 3+ years leading cross-functional projects; 1+ year compliance and 1+ year technical/integration experience.
Field Health Economics & Outcomes Research Liaison (fHEOR) – Payers & PBMs (Field Based)
Acton or Texas or New York or California or Georgia or Arizona or Colorado or Nevada or Florida or Massachusetts or New Jersey or Pennsylvania
$166k-$248k/yrFieldFull Time
InsuletNasdaq: PODD: Manufactures wearable tubeless insulin pumps for diabetes care.
7+ YOE7+ years in pharma/biotech/med device; PharmD/PhD/MD or equivalent; training in health economics, epidemiology, or biostatistics; experience with HEOR, RWE, economic models, and payer engagement.