2 pbm jobs at 2 companies in Portland, OR
1mo
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Pharmacy Claims Review Manager
Portland, Oregon, United States
OnsiteFull Time
5+ YOE2+ MgmtBachelor's or equivalent, 5+ years pharmacy claims/PBM/revenue cycle experience, 2+ years supervisory experience, knowledge of NCPDP, Medicare Part D/Medicaid billing, PBM adjudication; analytical skills and travel to pharmacy locations required.
NCPDP, Express Scripts, CVS Caremark, OptumRx, Humana, Prime Therapeutics, MedImpact, Navitus
4w
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Manager Clinical Pharmacy Quality and Affordability Programs
Burlington or Renton or Spokane or Vancouver or Portland or Medford or Salt Lake City or Boise or Lewiston or Fargo
$130k-$228k/yr HybridFull Time
3+ YOELicensed pharmacist with 3+ years patient-care and management or equivalent experience; Pharm.D or Bachelor's in Pharmacy; knowledge of Medicare/CMS, PBM dynamics, benefit design, medication coding and analytics; leadership and budget management skills.
ICD-10, CPT, HCPCS, NDC