Rael & Letson: Provides actuarial and consulting services for employee benefit plans.
5+ YOEPBM expertise with contract and rebate auditing, RFP and pricing review, client advising, strong communication and negotiation skills, proficiency with Microsoft Office and SharePoint; preferred 5+ years PBM experience.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft SharePoint, Microsoft Teams
Develop Health: Automates medication access and prior authorizations using generative AI.
3+ YOELicensed pharmacist (PharmD) with 3+ years pharmacy operations or PBM experience, PA/BV expertise, strong communication, and ability to work with product and engineering.
Director, Specialty Pharmacy and Cost of Health Care
Long Beach or California or El Dorado Hills or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills
$182k-$273k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
10+ YOE6+ MgmtCalifornia RPh license, PharmD, 10+ years relevant experience, 6+ years management in health plans or PBM, pharmacy benefits expertise, executive communication, and pharmacy strategy experience.
Ellipsis Health: AI-powered voice agent for healthcare care management.
10+ YOE10+ years business development in healthcare, experience closing payer/PBM deals, knowledge of Commercial/Medicare/Medicaid/value-based reimbursement, consultative sales skills, executive relationship building.
Santa Clara Family Health Plan: Provides managed health insurance plans for Santa Clara County residents.
2+ YOEHigh school diploma/GED, active CA Pharmacy Technician license, 2+ years pharmacy experience, proficiency with Microsoft Outlook/Word/Excel and PBM web platforms, strong communication and accuracy.
Microsoft Outlook, Microsoft Word, Microsoft Excel, PBM web based platform
Oakland or California or Long Beach or El Dorado Hills or Lodi or Rancho Cordova or Redding or San Diego or Woodland Hills
$181k-$271k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
10+ YOE6+ MgmtCollege degree or equivalent, 10+ years health plan/PBM operations experience, 6+ years managing pharmacy operations teams, strong written/verbal communication and cross-functional leadership skills.
Axiom: Provides on-demand legal talent and managed legal services.
5+ YOE5–8 years' attorney experience supporting pharmaceutical market access, strong knowledge of pricing/reimbursement law, JD and active bar license, experience drafting PBM/payer agreements, and excellent communication and negotiation skills.
Santa Clara Family Health Plan: Provides managed health insurance plans for Santa Clara County residents.
2+ YOEHigh school diploma/GED, active pharmacy technician license, 2+ years pharmacy experience, knowledge of prior authorizations and Medi-Cal/Medicare benefits, proficient with Outlook/Word/Excel and PBM platforms, strong communication and accuracy.
Microsoft Outlook, Microsoft Word, Microsoft Excel, PBM web based platform
Syneos Health: Global biopharmaceutical services for clinical development and commercialization.
2+ YOEAdvanced clinical degree (MD/PhD/PharmD),2+ years industry payor liaison experience,3+ years clinical oncology experience,knowledge of managed care/PBM and HEOR,P&T process familiarity,strong scientific and communication skills.
Associate Director, Channel & Distribution Operations
United States or Redwood City
$177k-$221k/yrRemoteFull Time
Revolution MedicinesNASDAQ: RVMD: Developing precision oncology therapies for RAS-addicted cancers
10+ YOEBA/BS and 10+ years in pharmaceuticals, including 5+ years in specialty pharmacy or distribution; requires analytical, project management, strategic execution, and regulatory knowledge.