Scottsdale or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or Arizona
$47k-$122k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
4+ YOE4+ years financial analysis, pricing, or underwriting experience; advanced Excel modeling; bachelor\u0002s preferred (finance/economics/math); strong presentation and communication skills.
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.
Indianapolis or Indiana or Ohio or Illinois or Kentucky or Texas or North Carolina or Tennessee or Pennsylvania
$160k/yrHybridFull Time
Apex Benefits: Employee benefits brokerage and health insurance consulting firm.
10+ YOEPharmacy degree,10+ years pharmacy/managed care experience,PBM expertise,Excel/Word/PowerPoint proficiency,client-facing communication,analytical and leadership skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint
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.
Arkansas or Arizona or California or Colorado or Connecticut or Florida or Georgia or Illinois or Indiana or Kansas or Maryland or Massachusetts or Minnesota or Missouri or Nevada or New Jersey or New York or North Carolina or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin
RemoteFull Time
SmithRx: Pharmacy benefit management platform for transparent drug cost savings.
Bachelor's or equivalent experience in healthcare/PBM, comprehensive benefits administration knowledge, strong analytical and communication skills, advanced Microsoft Excel; 4+ years Pharmacy QA experience 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.
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.
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.
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.
Senior Business Analyst - Pharmacy (Any city, IL, US, 99999)
Illinois or United States
$69k-$99k/yrRemoteFull Time
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
6+ YOE6+ years in pharmacy business analyst/technician roles, 3+ years Medicaid/Medicare preferred; strong Excel/SQL skills, PBM and drug file knowledge (FDB, Medispan, Micromedex), configuration and testing experience, strong communication.
Microsoft Excel, SQL, Application Lifecycle Management (ALM), FDB, Medispan, Micromedex
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.
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.