Mason or Atlanta or Ashburn or Columbus or Cincinnati or Richmond or Seven Hills or Roanoke or Norfolk
$19-$35/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEHigh school diploma or equivalent and minimum 3 years billing/collections experience; PBM billing experience preferred; AS in accounting preferred; proficiency with Microsoft Excel.
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.
Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEBachelor's degree, 3+ years managed care experience, prior leadership preferred; strong pharmacy benefits operations, analytical skills and PBM liaison experience.
Illinois or Ohio or Texas or Georgia or Vermont or Minnesota or Maryland or Massachusetts or South Carolina or Missouri or Michigan or Virginia or New York or North Carolina or Florida or Connecticut or Indiana or Pennsylvania or New Jersey or Rhode Island or Kentucky or Tennessee or United States
$106k-$206k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOERequires 5+ years of clinical pharmacist experience, PBM clinical pharmacy experience, pharmacist licensure, clinical and analytical skills, project management, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, PubMed, Lexicomp
Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic
District of Columbia or North Carolina or South Carolina or Virginia
$162k-$243k/yrFieldFull Time
BayerFrankfurt Stock Exchange: BAYN: Global enterprise focused on healthcare and nutrition.
2+ YOEBachelor’s degree or 5 years of healthcare reimbursement experience, 2+ years of field reimbursement experience, payer/PBM expertise, customer collaboration skills, and a valid driver's license.
Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic
District of Columbia or North Carolina or South Carolina or Virginia or Washington or Asheville or Cary or Chapel Hill or Charlotte or Raleigh or Durham or Fayetteville or Greensboro or Greenville or Wilmington or Winston-Salem or Charleston or Columbia or Florence or Myrtle Beach or Spartanburg or Arlington or Charlottesville or Fairfax or Fredericksburg or Hampton or Lynchburg or Norfolk or Richmond or Roanoke or Virginia Beach
$162k-$243k/yrFieldFull Time
BayerFrankfurt Stock Exchange: BAYN: Global provider of healthcare medicines and agricultural products.
2+ YOEBachelor's degree or 5 years healthcare reimbursement experience, 2+ years field reimbursement experience, payer/PBM and Medicaid knowledge, oncology experience preferred, and a valid driver's license.
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEBA/BS and minimum 3 years managing business operations or customer relationships; PBM and client-facing experience preferred; ability to travel locally ~25%; must reside in EST/CST.
North Carolina or South Carolina or Virginia or Durham or Tennessee
$89k-$143k/yrRemoteFull Time
Blue Cross and Blue Shield of North Carolina: Provides health insurance and medical benefit plans to members.
5+ YOEBachelor's degree or 5+ years related experience (7+ years in lieu of degree); pharmacy or PBM experience preferred; client-facing consultative experience; strategic planning and financial analysis skills.
Mason or Latham or Wallingford or Manchester or South Portland or Norfolk
$143k-$225k/yrFieldFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEBA/BS and minimum 5 years related PBM or health plan account management experience; pharmacy license preferred; experience with renewals, RFPs, client strategy, and cross-functional collaboration.
Cambridge or Maine or New Hampshire or Vermont or Massachusetts or Rhode Island or Connecticut or New York or Pennsylvania or New Jersey or Delaware or Maryland or District of Columbia or Virginia or North Carolina or South Carolina or Georgia or Florida or Puerto Rico or Alaska or Arizona or Hawaii or Michigan or Tennessee or United States
$223k-$265k/yrRemoteFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's required; 10+ years pharma/biotech experience with 5+ years managing national/regional payers/PBM accounts; launch and rare-disease access experience; strong strategic, analytical, negotiation, and cross-functional skills; ability to travel 25–50%.
Arizona or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or New Mexico or Montana or Iowa or Michigan or Oregon or Maine or Wisconsin or New York or North Dakota or Kansas or New Jersey or Nebraska or Indiana or Connecticut or Nevada or Rhode Island or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Virginia or South Dakota or Illinois or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$68k-$183k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE5+ Mgmt7 years experience in pricing/PBM/healthcare operations or related domains; 5+ years leading operations teams; 1+ year appeals and claims adjudication experience; Bachelor's degree or equivalent; proficiency with Excel, MS Access, Salesforce; strong analytical and leadership skills.
Microsoft Excel, MS Access, Salesforce, Pharmacy Portal
Medicare Part B Operations Coordinator, Revenue Cycle
Rhode Island or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or Montana or New Mexico or Iowa or Michigan or Maine or Wisconsin or North Dakota or District of Columbia or Kansas or New Jersey or Nebraska or Indiana or Connecticut or Nevada or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Arizona or Virginia or South Dakota or Illinois or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$17-$34/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOE1+ year retail pharmacy/PBM/account experience, 1+ year Microsoft Excel and Access experience, strong communication and organizational skills, HIPAA compliance, HS diploma required, Associate's preferred, Rhode Island Pharmacy Technician (Tech II) license and CPhT/PTCB noted.