Southfield or Northbrook or Irving or Scottsdale or Hartford or Woonsocket
$75k-$166k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE7+ years in compliance/regulatory/legal or market conduct roles with PBM experience; strong analytical, communication, and cross-functional coordination skills; ability to manage multi-state exams and meet deadlines.
KPH Healthcare Services: National provider of integrated pharmaceutical and healthcare services.
10+ YOEExecutive leadership of pharmacy solutions; 10+ years in PBM/GPO or related industry; Bachelor’s degree required; MBA or pharmacy degree preferred; skills in PBM economics, commercialization, finance, and stakeholder management.
Senior Product Analyst – Clinical Engagement Solutions, Omnichannel Communications Team - National Remote
Schaumburg or United States
$73k-$130k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOE3+ years omnichannel communications operations experience, 1+ year in healthcare/PBM preferred, intermediate Microsoft Office skills, vendor management, regulatory familiarity.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Outlook, Microsoft Teams, Quadient Inspire, Adobe Acrobat Pro, InDesign
Chicago or Washington or Illinois or Florida or New York or California or Pennsylvania or South Carolina or New Jersey or Texas
$155k-$175k/yrRemoteFull Time
Blue Cross Blue Shield Association: National association coordinating independent Blue Cross Blue Shield health plans.
5+ YOEPharmacy degree preferred,5+ years related experience in PBM/contracting/client relations,ability to interpret manufacturer contracts,strong Excel/PowerPoint and communication skills.
AbbVieNYSE: ABBV: Develops and sells innovative pharmaceutical and biopharmaceutical medicines.
10+ YOEBachelor's degree and 10+ years of healthcare analytics experience, including 5+ years in pharmaceutical market access analytics; expertise in payer, PBM, claims, policy, and strategic insights.
KPH Healthcare Services: National provider of retail and commercial pharmaceutical healthcare services.
10+ YOEExecutive leader to drive strategy, commercialization, and growth of pharmacy solutions; requires minimum 10 years in PBM/GPO/related industry and a Bachelor’s degree; MBA or pharmacy degree preferred.
Rush University Medical Center: Academic medical center providing patient care and medical education.
2+ YOEMinimum 2 years insurance authorization experience in infusion or healthcare, 1 year PBM/prior authorization experience, high school diploma, strong communication, problem solving, and computer skills.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
4+ YOEMinimum 4 years pharmacy/adjudication experience, high school diploma/GED, registration with state Board of Pharmacy, experience with NCPDP claim resolution, insurance/PBM knowledge, leadership and auditing skills.
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
5+ YOE5+ years PBM/consulting experience preferred, Bachelor's degree preferred, consultative client management, strong communication and presentation skills, ability to travel up to 20%, residence in Illinois or adjacent states.
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
3+ YOEB.S. degree and 3+ years experience; pharmacy tech and PBM project management experience ideal; expertise in pharmacy claim audits, HIPAA compliance, advanced data analysis, predictive modeling, and dashboard development.
Walgreens: Retail pharmacy providing prescriptions and health and wellness products.
High school diploma/GED, customer service experience in healthcare/PBM/specialty pharmacy or call center, clear written and verbal communication, basic to intermediate PC skills with Microsoft Windows and Microsoft Office.
Codal: A design and development agency building digital solutions.
7+ YOE7+ years product management experience in consulting or digital agency; deep pharmacy/Rx lifecycle, PBM, and claims adjudication knowledge; experience leading enterprise product discovery and delivery; strong stakeholder and analytical skills.
KPH Healthcare Services: Provides national retail pharmacy and specialized healthcare services.
10+ YOEExecutive leadership of pharmacy solutions division with 10+ years PBM/GPO/related experience, bachelor's required, MBA or pharmacy degree preferred, strategic leadership, product commercialization, rebate/formulary expertise, financial and analytics skills.
Liviniti: Provides transparent pharmacy benefit management and prescription cost savings.
10+ YOE10+ years in eligibility/EDI or PBM/health plan administration; expert X12 834 and 270/271; SQL and Snowflake familiarity; experience leading eligibility/EDI functions and managing platform migrations; strong communication and product ownership.
Carepoint Pharmacy: Provides specialty pharmacy services and mail-order medication dispensing.
Active pharmacy technician license and certification (PTCB/ExCPT or grandfathered), experience with major PBMs, ability to complete prior authorizations, read medical charts, use Cover My Meds, and knowledge of ICD-10; employed ≥6 months required.
KPMG: Global professional services network providing audit, tax, and advisory.
8+ YOE8+ years consulting or executive payer experience, Masters degree, strong payer/PBM knowledge, project and budget management, client relationship and business development skills, travel up to 80-100%, authorized to work in the U.S. without sponsorship.