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CareBridge logo
CareBridgeMiami, FL
Pharmacy Benefits Manager Pricing Strategy Analyst Manager Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention. Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. Implements pricing in the system related to margin. Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MBA strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

CareBridge logo
CareBridgeAtlanta, GA
Pharmacy Benefits Manager Pricing Strategy Analyst Manager Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention. Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. Implements pricing in the system related to margin. Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MBA strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Truman Medical Centers logo
Truman Medical CentersKansas City, MO
If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply. Ambulatory Medication Access Coordinator- Pharmacy- UH Truman Medical Center (Mon- Fri, 8:00a-5:00p, Hybrid schedule) 101 Truman Medical Center Job Location University Health Truman Medical Center Kansas City, Missouri Department Pharmacy Inpatient UHTMC Position Type Full time Work Schedule 8:00AM - 5:00PM Hours Per Week 40 Job Description Ambulatory Medication Access Coordinator (AMAC) Empowering Access. Elevating Outcomes. Join our patient-centered team dedicated to removing medication access barriers and optimizing ambulatory care. As the Ambulatory Medication Access Coordinator (AMAC), you'll play a vital role in streamlining access to high-cost, take-home specialty medications-ensuring timely treatment for patients and clinical efficiency for providers. Working across clinics, payers, and pharmacy operations, the AMAC serves as the point person for medication access navigation, insurance coordination, and reimbursement optimization. You'll advocate for patients through complex benefit investigations, prior authorization support, and financial assistance programs-making a measurable impact in lives and outcomes. Key Responsibilities: Serve as the primary liaison between TMC patients, ambulatory care teams, and the pharmacy department for medication access and reimbursement issues Conduct detailed benefit investigations and complete insurance prior authorizations for high-cost outpatient medications Identify financial assistance programs, including manufacturer-sponsored support, grants, and alternative coverage options Monitor, track, and resolve issues related to payment denials, coverage gaps, and under-reimbursement Compile data and reports for contract optimization, utilization trends, and payer performance Assist in developing and refining workflows that promote clinic efficiency and timely patient access Refer patients to copay assistance and charity programs, when applicable Collaborate with internal pharmacy teams and external payers to maintain excellent service continuity Perform retrospective utilization reviews for denied claims and recommend process improvements Minimum Requirements: Bachelor's degree in a healthcare-related field OR an equivalent combination of education and healthcare/pharmacy experience 3 to 5 years of experience in healthcare access, specialty pharmacy, prior authorizations, or insurance benefit management Registered Pharmacy Technician in Missouri at time of hire National technician certification (PTCB or equivalent) within 6 months of hire Strong computer skills with proficiency in Word, Excel, databases, and electronic health systems Outstanding communication, problem-solving, and conflict resolution skills Ability to work independently and prioritize in a dynamic, high-volume environment Collaborative mindset and strong interpersonal abilities across diverse clinical teams Preferred Qualifications: Experience with medication reimbursement and billing processes Familiarity with pharmacy benefit management (PBM), prior authorization platforms, or EHR systems Understanding of insurance coverage, medical/pharmacy coding, and ambulatory care workflows Proven track record in securing patient access to specialty medications Why This Role Matters: The AMAC is critical to ensuring our patients get the right medications at the right time-with minimal delays or financial hardship. If you thrive at the intersection of healthcare operations, access advocacy, and pharmacy services, we want to hear from you. Join us in improving lives through access and equity in care.

Posted 30+ days ago

C logo
Cambia HealthLewiston, ID

$68,900 - $93,200 / year

Pharmacy Client Operations Manager Work from home within Oregon, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Pharmacy Client Operations Managers are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Client Operations Managers oversees pharmacy operations sales support functions necessary to sales productivity. These include pharmacy sales operations and account management planning, communications, product development operations, sales team training, reporting, and coordinating the implementation of pharmacy benefits, programs and products. Identify areas and processes for improvement which will directly enhance the customer experience and driving those improvements through implementation. Responsible for the productivity, efficiency, and effectiveness of the assigned sales organization. The position reports to the Associate Director, Pharmacy Client Operations and assists the following teams: Pharmacy Initiatives and Market Solutions, Clinical Client Pharmacy Services, and Sales and Account Management Teams. The position works closely with all internal stakeholders and cross-functional partners to ensure the appropriate objectives and priorities are enabled within the sales organization supported - all in service of making our members' health journeys easier. Are you ready to leverage your pharmacy expertise in a role that combines strategic planning, cross-functional collaboration, and meaningful impact? Are you driven by the mission to transform healthcare delivery through innovative pharmacy operations and client service excellence? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: Bachelor's Degree in Business and/or Marketing or an Associate's Degree in Business or Marketing Additionally, 4+ years of experience in the pharmacy managed care setting or as a pharmacy technician in a retail, hospital, or other licensed pharmacy setting; or equivalent combination of education and experience in a related field Certified pharmacy technician preferred Skills and Attributes: Demonstrated knowledge of claims processing systems, Cambia systems (medical claims, prior authorization, PBM vendor systems), MS Office products, and other corporate software; ability to implement and support RFP data management solutions Comprehensive knowledge of health insurance and pharmacy benefits, including medical terminology, pharmaceutical products (orals, injectables, infusion products, chemotherapy), and healthcare coding systems (ICD-10, CPT, HCPCS); thorough understanding of sales processes, terminology, operational flow, and data requirements Ability to analyze and review statistical data, prepare reports, and write concise, relevant communications Demonstrated ability to lead all sales and account management operations, implementation, and activities within pharmacy; ability to educate customers, brokers, and members on pharmacy products Demonstrated ability to assist with the proposal process and consistently manage and coordinate the production of high-quality initial proposal materials Demonstrated ability to collaborate with individuals, teams, and cross-functional partners; effectively manage interdepartmental communications and communication processes Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired Ability to manage multiple complex projects simultaneously, including serving as product owner, project manager, and trainer for new and existing systems and products Demonstrated analytical ability to identify problems, develop solutions, and implement chosen courses of action; aptitude in process improvement and innovation Ability to seamlessly and effectively onboard and integrate new pharmacy clients, programs, and products Ability to work well under pressure and meet tight timelines while maintaining quality standards What You Will Do at Cambia: Works closely with sales management to inspect sales and provides pharmacy account management services for quality and opportunities for process improvement. Triage and provide first touch resolution to client issues. Quickly and accurately assess inquiries in order to understand the customer needs. Communicate with a variety of external and internal customers regarding benefits, eligibility, and other information. Works cross functionally with other departments to coordinate pharmacy client operations efforts, identify cross-functional process improvements, and implement sales optimization efforts. Manages pharmacy client and member communications processes. Supports the development, production and coordination of the distribution of pharmacy customer communications and correspondence. Manages the implementation of pharmacy products and programs with timely, accurate, and quality results. Effectively coordinates with Cambia implementation teams to ensure effective and efficient implementation processes. Leads and is accountable for the success of pharmacy benefit implementation onboarding for new and renewing customers. Monitors and provides quality assurance review of group benefits upon implementation and renewal #LI-Remote The expected hiring range for a Pharmacy Client Operations Manager is $68,900 - $93,200 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $64,000 - $106,000. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Rapid City, SD

$16 - $28 / hour

"A Day in the Life" video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together. We seek a Per Diem Pharmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a Registered Pharmacist. Pharmacy Hours: Monday- Friday 8am- 5pm Schedule: Per Diem working on an as needed basis covering PTO, callouts and other business needs Location: 308 Quincy Street, Suite 100, Rapid City, SD, 57701. Ability to cover other site in Rapid City, SD Primary Responsibilities: Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the Registered Pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes medication orders Verifies medication stock and enters data in computer to maintain inventory records Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements Performs various clerical duties relating to the department Communicates with strong professional verbal and written communication skills Other duties as assigned Ability to make deliveries when needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Active and unrestricted Pharmacy Technician license in the state of South Dakota Access to reliable transportation and valid US driver's license Preferred Qualifications: 6+ months of Pharmacy Technician experience National Pharmacy Technician Certification Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Posted 1 week ago

Sutter Health logo
Sutter HealthSacramento, CA

$104 - $115 / hour

We are so glad you are interested in joining Sutter Health! Organization: SMCS-Sutter Med Center- Sacramento Position Overview: Delivers pharmaceutical care through the provision of patient-centered clinical service, medication information, education, medication preparation and distribution that ensures safe, effective, and cost-efficient medication therapy. Exercises sound judgment and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department. Specialty Expertise or Advanced Certification. Demonstrated ability to influence physician prescribing at a subspecialty level. Examples: dedicated or spend more than 80% of work hours in any of the following areas: Med Safety, Informatics, Investigational Pharmacists, ID, ED, Pediatrics/Neonates, Oncology, Critical Care and other recognized pharmacy specialties. Serves as a service line or subspecialty owner. Demonstrates ability to direct practice or prescribing across a service line, accountable for the outcome of the service line or area of expertise. System involvement in project/initiative as SMEs. Able to train other pharmacists within the subspecialty service line. Job Description: EDUCATION PHARMD-Graduate of an accredited pharmacy school CERTIFICATION & LICENSURE PHARMR-Current registration or Registered Pharmacist within 120 days PALS - Pediatric Advanced Life Support TYPICAL EXPERIENCE: 5 years recent relevant experience. SKILLS AND KNOWLEDGE: Knowledge of medical terminology, generic and trade pharmaceutical names, pharmaceutical calculations and laws and regulations. Knowledge and understanding of different Pharmacy practice settings, including narcotic delivery and procedures. Knowledge and ability to identify and employ pharmaceutical and medical terms, abbreviations and symbols commonly used in prescribing, dispensing, and record keeping of medications. Requires a basic working knowledge of legal requirements and accreditation standards including National Association of Boards of Pharmacy (NABP), The Joint Commission (TJC), Title XXII, United States Department of Homeland Security (DHS), Drug Enforcement Administration (DEA), Food and Drug Administration (FDA) and United States Pharmacopeia (USP). Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadlines. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), related pharmaceutical technology, EHR, and EPIC. Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. Ensure the privacy of each patient's PHI. Job Shift: Days Schedule: Full Time Shift Hours: 8/10 Blended Days of the Week: Monday- Friday Weekend Requirements: Occasionally Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $104.30 to $114.72 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

Posted 30+ days ago

CareBridge logo
CareBridgeIndianapolis, IN
Pharmacy Tech II Hours: 10am-7pm or 11am-8pm EST with every 3 weeks rotating Saturday or Sunday Locations: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Pharmacy Tech II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How you will make an impact: Verifies member information and inputs data for the pharmacists. Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. Provides resolution to grievances and appeals issues. Responds to inquiries from physicians and members related to formulary and prescription benefits Minimum Requirements: Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States. Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Avera Health logo
Avera HealthRapid City, SD

$23 - $35 / hour

Location: Avera Long Term Care Pharmacy Worker Type: Regular Work Shift: Primarily days with possible weekends/evenings/holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.75 - $34.75 Position Highlights This position is based out of Rapid City, SD! You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Under general supervision, supports the pharmacy services in the following areas: (1) Database management; (2) Medical staff involvement; (3) Record retention and assurance of confidentiality; (4) Pharmacy office management; and (5) Systems management. Regularly performs complex and sensitive pharmacy services-related tasks using discretion and own judgment, serves as resource in such situations for pharmacy staff and formulates documents and reports for the director of pharmacy technology. Coordinates administrative support of pharmacy services, and manages affiliated inpatient pharmacy services in accordance with professional standards, regulatory and licensing agency policies, and federal and state laws related to the practice of pharmacy. What you will do Demonstrates mastery associated with applicable Federal, State, and local laws and regulations, the compliance accountability program, code of ethics, as well as other policies and procedures to assure pharmacy compliance associated with automated dispensing equipment. Composes written communication, proposals, reports, policies, and agendas based on information obtained. Establishes priorities and maintains records of decisions made and/or actions taken. Maintains regular communication with other hospital departments or units to ensure efficient processing of work, obtains and relays information and resolves problems. Responsible for directing the workflow of other team members to ensure a productive and efficient environment associated with process excellence implementation of identified improvements. Actively works with hospital and medical staff regarding the obtaining of, or access to patient/hospital related data from pharmacy computer system databases. Utilizes standardized or specialized statistical packages to analyze data. Prepares, validates, and disseminates routing and special technology reports as requested. Maintains working knowledge of existing computer hardware and software systems. Responsible for needs assessment, selection and evaluation of new and/or existing software programs for the department. Demonstrates mastery in extracting data from hospital software systems and manipulates data to usable format. Designs, creates reports, prints, and disseminates routing and special system reports to pharmacy staff and others as requested. Collaborates with management personnel from system affiliates to coordinate and integrate the delivery of pharmacy services across the full continuum of patient care. Coordinates the implementation, maintenance, and monitoring of service excellence initiatives implemented by the department. Responsible for new employee orientation/training manuals and/or videos, to assure understanding of standard work requirements. Actively manages and responsible for all components associated with drug delivery and accountability for medications delivered to patients via automation technology. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: High School or GED Equivalent ; or one to three months related experience and/or training; or equivalent combination of education and experience Preferred Education, License/Certification, or Work Experience: System Automation experience Expectations and Standards Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera's values of compassion, hospitality, and stewardship. Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

Posted 1 week ago

hims & hers logo
hims & hersNew Albany, OH
Hims & Hers is the leading health and wellness platform, on a mission to help the world feel great through the power of better health. We are redefining healthcare by putting the customer first and delivering access to care that is affordable, accessible, and personal, from diagnosis to treatment to delivery. No two people are the same, so we provide access to personalized care designed for results. By normalizing health & wellness challenges and innovating on their solutions, we're making better health outcomes easier to achieve. Hims & Hers is a public company, traded on the NYSE under the ticker symbol "HIMS." To learn more about the brand and offerings, you can visit hims.com/about and hims.com/how-it-works . For information on the company's outstanding benefits, culture, and its talent-first flexible/remote work approach, see below and visit www.hims.com/careers-professionals. About the Role: As a Registered Pharmacy Technician, you will be responsible for providing outstanding pharmacy service to our patients and partner organizations. Working with our pharmacy team, you will help maintain and drive an amazing, modern, and innovative pharmacy service. You will report to the Pharmacy Supervisor. This is an opportunity to help promote a safe, efficient and impactful pharmacy team at the core of taking care of our patients. This role is based in our New Albany, Ohio facility. We are Night Shift (Wed - Sat, 9:00 PM - 7:30 AM). You Will: Practice all state and federal pharmacy regulations for the ordering, handling, and management of prescriptions and/or prescription drug products Maintain all security and privacy rules regarding the use and handling of protected health information (PHI) in compliance with federal and state HIPAA regulations Update and maintain patient profile records as necessary according to state pharmacy regulations Attend all pharmacy team meetings as necessary Drive quality efforts by adhering to standard operating procedures Follow all state and pharmacy regulations and rules as designated by the Ohio State of Pharmacy and the Food and Drug Administration (FDA) Maintain a clean and sanitary work environment as mandated by the FDA's rules and regulations Support pharmacy and pharmacist services by stocking, labeling, assembling, and filling medications or other tasks as permitted by the state board of pharmacy Assist as-needed in maintenance of pharmacy inventory by checking stock to determine inventory level, anticipating needed medications and supplies, placing and expediting orders, verifying receipt, and removing outdated drugs Maintain a safe pharmacy environment by complying with standard operating procedures, rules, and regulations Clean and help maintain pharmacy areas, pharmacy equipment and work areas as directed by standard operating procedures. Transition medications through various states of workflow Protect patients and employees by adhering to strict infection-control policies and protocols. Organize medications for pharmacist to dispense by reading medication orders and prescriptions, preparing labels, calculating quantities, and assembling patient orders Contribute to team effort by accomplishing related results as needed Perform other tasks as assigned You Have: 18+ years of age, high school diploma, GED or equivalent Active registration as a Registered Pharmacy Technician in the State of Ohio Effective knowledge of state and federal pharmacy laws, rules and regulations related to the practice of pharmacy Ability to work flexible shift times Attention to detail Willingness to work in a team environment and promote company culture Proficiency in English, verbal and written Proficiency in Windows based computer systems Experience working in a community, mail-order, or hospital pharmacy as a registered pharmacy technician is a plus Our Benefits (there are more but here are some highlights): Competitive salary & comprehensive health benefits including medical, dental & vision Conditions of Employment: This position will require working with Hazardous Drugs (HD) and would require that Personal Protective Equipment (PPE) be worn for the length of working with these drugs. These items would include gloves, respiratory protection, gown and other items as required. This position requires medical approval to wear respiratory protection in the form of negative or positive pressure respirators, including N95, full face respirator, SCBA, or Powered Air Purifying Respirator (PAPR). Physical exertion required. Including, but not limited to, walking up to 50% of the time, standing up to 100% of the time, squatting and bending up to 20% of the time and lifting up to 80% of the time for up to a twelve hour shift. Must be able to lift up to 50lbs. Due to the risk of reproductive capability in handling or compounding certain Hazardous Drugs (HD) associates must be willing to confirm that they understand the potential risks (teratogenicity, carcinogenicity and reproductive effects) of handling hazardous drugs. We are committed to building a workforce that reflects diverse perspectives and prioritizes ethics, wellness, and a strong sense of belonging. If you're excited about this role, we encourage you to apply-even if you're not sure if your background or experience is a perfect match. Hims considers all qualified applicants for employment, including applicants with arrest or conviction records, in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, the California Fair Chance Act, and any similar state or local fair chance laws. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Hims & Hers is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, please contact us at accommodations@forhims.com and describe the needed accommodation. Your privacy is important to us, and any information you share will only be used for the legitimate purpose of considering your request for accommodation. Hims & Hers gives consideration to all qualified applicants without regard to any protected status, including disability. Please do not send resumes to this email address. To learn more about how we collect, use, retain, and disclose Personal Information, please visit our Global Candidate Privacy Statement.

Posted 30+ days ago

Shields Health Solutions logo
Shields Health SolutionsOrlando, FL
Job Purpose: The Company is seeking a highly motivated, self-starter who is looking for a challenging career with a fast-growing company in the specialty pharmacy management services. We are seeking experienced pharmacy technicians who are registered with the State of employment. Nationally certified as a CPhT is preferred but not required. Critical to this position is a person who is able to work independently and establish strong and credible relationships with patients, clinicians and internal Shields staff. Applicants should be results-oriented with a positive outlook, and a clear focus on high patient quality and service. Detail orientation and strong administrative/organization skills are required. Mature, approachable, professional, and comfortable in dealing with others both in-person and on the phone. Applicant must be reliable, tolerant, and determined; an empathetic communicator, able to see things from the other person's point of view. Most importantly, person must be able to work as a member of a close-knit team. Provides integrated support to patients and pharmacists by providing a 'hands-on" approach to total quality patient care. Works closely with patients to deliver a full continuum of medication adherence support by utilizing our various tools and applications. Encourages patients of specialty clinics to utilize pharmacy to fully benefit from its superior patient care services. Given that the Pharmacy Liaison will be located in one of the medical center clinics, seamlessly integrating with the clinic team (doctors, nurses, staff, etc.) is critical to the liaison's success. Job Duties: Provide "legendary" care to hospital patients by providing a full suite of custom medication management services As a member of the clinic team, work seamlessly alongside hospital clinicians to serve patients both face-to-face and over the phone Educate prospective pharmacy patients on how hospital serves patients and improves their overall care. Support outpatient retail and specialty prescription medication needs. Grow the specialty pharmacies patient population Ensure that patients remain on track with medication regimens- outbound therapy/medication adherence check-ups; secures refill prescriptions. Communicate effectively with the centralized Patient Service Center with respect to such communications as: the refill report, the zero-fill report, the monthly outstanding report and the appointment list. Help develop new processes to ensure smooth operations and patient care. Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication. Identify supplies necessary for select medications such sharps containers, needles/syringes, alcohol swabs, Band-Aids. Answer, resolve and triage inbound inquiries. Perform refill reminder calls under the supervision of a pharmacist. Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance. Ensure appropriate documentation in all required systems/tracking mechanisms. Manage, organize, and update relevant data using database applications. Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards. Identify trends, resolves problems; recommend improvements; implement change. Actively participate in process improvement initiatives. Act as a value-added business partner to stakeholders throughout the organization. Protect organization's value by keeping information confidential. Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations. Willing to do whatever is necessary for the betterment of the Company. Other duties as assigned. Skills: Strong interpersonal communication skills, ability to work independently and demonstrate good judgement, strong verbal and written communication, highly proficient in Microsoft Office particularly Excel and Word; able to quickly learn other software programs and able to extract relevant information; strong organizational/administrative skills a must Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data Specialties: Knowledge of transplant, hepatitis C, infectious disease (including HIV), and/or oncology a plus Experience/ Education: Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Years of Experience: Required 2 years, Preferred 3-5 years' experience as a Pharmacy Technician Education: High School Diploma or GED required

Posted 2 weeks ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Morgantown, WV

$110,200 - $188,800 / year

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a Senior Director of Pharmacy you will oversee all pharmacy operations including planning, organizing, controlling, and supervising activities, according to hospital policies, standards of practice of the profession, and state and federal laws at both locations. You will recommend innovations in the practice and function of the pharmacy to hospital administration and carry out mutually agreed-upon programs with assistance from a full support team. You will assist with the security of the pharmacies and controlled substances, assist in the recruitment and hiring of pharmacy staff, ensure all legal, accreditation, and certification requirements are being met, ensure the provision of optimal services, and oversee Directors of Pharmacy at Mon Marion Neighborhood Hospital, Davis Medical Center, Broaddus Hospital, and Webster Memorial Hospital as well as other hospital personnel to enhance financial performance. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Pharmacy degree (BS or PharmD) from an ACPE accredited school of pharmacy Current Pharmacist license in good standing in applicable state 5+ years experience as a Pharmacist in an acute care hospital setting Thorough knowledge of state and federal laws and regulations governing pharmacy services. Proficient in the use and application of new medications and technology Business acumen including profit/loss understanding, contract negotiations, and GPO function Knowledge of pathophysiology, interpretation of diagnostic criteria, pharmacokinetics and pharmacotherapeutics Preferred Qualifications: PharmD degree 3+ years of recent Pharmacy Director experience in a complex health system Hospital Requirements: (may be required): (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity Varicella - (2) documented doses or A Blood Titer proving Hep B3 Series (or declination) (Flu) Influenza-required for hire between Oct 1st-April 30th COVID Vaccine-Full (required) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 2 weeks ago

Vizient logo
VizientCape Girardeau, MO

$117,600 - $206,000 / year

When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Summary: In this role, you will support the Vizient Reserve Program by sustaining and expanding pharmacy and med-surg program opportunities that meet client needs. You will coordinate with consultants, leadership, and subject matter experts to facilitate contracting, advisory, compliance, policy, and analytics services. You will gather and interpret client feedback, maintain program resources, monitor market changes, and enhance visibility and utilization of program offerings to drive value, engagement, and growth. Responsibilities: Capture and organize insights from voice of customer engagements to understand client requirements and strategic direction. Ensure clients understand where and how to access pharmacy program offerings and resources. Maintain relationships with peers and participants within the existing network. Recommend improvements to client satisfaction and engagement based on feedback. Monitor and update projects and contracts based on market changes and contribute to development of new initiatives. Align projects and contracts to client needs and market competitiveness, partnering with cross-functional teams. Enhance tools and approaches that increase contract visibility and utilization. Develop and present business reviews and support executive reviews using standard templates. Maintain training materials for existing programs and deliver training to educate clients on pharmacy capabilities. Update reports based on market or program changes and assist with developing new analytics and reporting solutions. Grow and foster client participation. Qualifications: Pharmacy or PharmD Degree required. 5 or more years of relevant experience required. Strong ability to synthesize client feedback into actionable insights. Knowledge of pharmacy and med-surg market trends, policies, and contracting practices. Skilled in developing presentations, reports, and training materials. Ability to collaborate with cross-functional teams and support program growth initiatives. Proficiency in interpreting data to identify opportunities, trends, and solutions. Excellent communication and relationship-building skills. Strong organizational skills with the ability to manage multiple priorities. Willingness to travel. Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $117,600.00 to $206,000.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.

Posted 30+ days ago

Vizient logo
VizientCentennial, CO
When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Summary: In this role, you will support the Vizient Reserve Program by sustaining and expanding pharmacy and med-surg program opportunities that meet client needs. You will coordinate with consultants, leadership, and subject matter experts to facilitate contracting, advisory, compliance, policy, and analytics services. You will gather and interpret client feedback, maintain program resources, monitor market changes, and enhance visibility and utilization of program offerings to drive value, engagement, and growth. Responsibilities: Capture and organize insights from voice of customer engagements to understand client requirements and strategic direction. Ensure clients understand where and how to access pharmacy program offerings and resources. Maintain relationships with peers and participants within the existing network. Recommend improvements to client satisfaction and engagement based on feedback. Monitor and update projects and contracts based on market changes and contribute to development of new initiatives. Align projects and contracts to client needs and market competitiveness, partnering with cross-functional teams. Enhance tools and approaches that increase contract visibility and utilization. Develop and present business reviews and support executive reviews using standard templates. Maintain training materials for existing programs and deliver training to educate clients on pharmacy capabilities. Update reports based on market or program changes and assist with developing new analytics and reporting solutions. Grow and foster client participation. Qualifications: Pharmacy or PharmD Degree required. 5 or more years of relevant experience required. Strong ability to synthesize client feedback into actionable insights. Knowledge of pharmacy and med-surg market trends, policies, and contracting practices. Skilled in developing presentations, reports, and training materials. Ability to collaborate with cross-functional teams and support program growth initiatives. Proficiency in interpreting data to identify opportunities, trends, and solutions. Excellent communication and relationship-building skills. Strong organizational skills with the ability to manage multiple priorities. Willingness to travel. Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $117,600.00 to $206,000.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.

Posted 30+ days ago

CareBridge logo
CareBridgeWest Des Moines, IA
Pharmacy Benefits Manager Pricing Strategy Analyst Manager Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention. Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. Implements pricing in the system related to margin. Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MBA strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Diverse Lynx logo
Diverse LynxBerkeley, California

$30 - $34 / hour

Job Title | Pharmacy Tech Inpatient Duration | 13 weeks (Extendable) pay Range | $30/hr - $34/hr Facility | Sutter Health Alta Bates Summit Medical Center Herrick Location | 2001 Dwight Way Berkeley, CA 94704 Shift | Day 5x8-Hour (08:00 - 16:30), Day 5x8-Hour (09:30 - 18:00) Technician candidates are only expected to work 8-hour DAY shifts Monday to Friday (no weekends) with variable start times ranging from 07:00am to 09:30am. Hours of pharmacy operation are 07:00 to 18:00. Documents Required: • Updated resume • Certified Pharmacy Technician (CPhT) • COVID Card • 2 Professional references | Job Details | Seeking an experienced pharmacy technician licensed by the California Board of Pharmacy to provide timely and accurate pharmaceutical care. | Skills | Prepares, compounds, packages, labels, and dispenses medication, nutritional products, IV admixture and solutions (e.g., chemotherapy, biotherapy, etc.), and Durable Medical Equipment (DME) according to Sutter Health policies, state/federal regulations, and The Joint Commission standards. Assists with medicine and supplies inventory management and control, including maintaining adequate stock levels, checking accuracy of pricing, and completing required regulatory documentation. Adheres to all standards, procedures, cleaning protocols, and infection control polices to maintain a safe and sterile medication area, clean rooms, and laminar flow hoods. Compensation: $30.00 - $34.00 per hour Minority and Women Owned Business Enterprise (MWBE) certified by the State of New Jersey and Minority Business Enterprise (MBE) certified from National Minority Supplier Development Council. Our Vision & Mission We believe in the free enterprise system. We shall consistently treat our customers, employees, suppliers and the community with honesty, dignity, fairness and respect. We will conduct our business with the highest ethical standards. Our Mission is “Continually exceed our customers & increasing expectations.” What We Value ? We value Integrity, Customer Satisfaction, Honesty and fairness. They are essential to the way we do business and how we interact with people. We do what we say we will do, and we conduct ourselves in accordance with our code of ethics. Our Employee Is Our Key The diversity and involvement of our people is the foundation of our strength. We are committed to their fair and effective selection, development, motivation and recognition. We provide employees with the tools, training and support to achieve excellence in customer satisfaction.

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Port Huron, MI

$16 - $28 / hour

"A Day in the Life" video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa we become their voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others to ensure that people with complex health conditions get the right medications and are able to follow their treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to a new level of care. Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group's family of businesses. We are part of a leading information and technology-enabled health services business dedicated to making the health system work better for everyone. Join us to start Caring. Connecting. Growing together. We seek a Pharmacy Technician to support all functions of the Genoa mental health and specialty pharmacy primarily through dispensing medical prescriptions and performing necessary clerical duties while under the direct supervision of a Registered Pharmacist. Location: 3111 Electric Ave., Port Huron, MI 48060 Schedule: Monday-Friday 8:30am to 5:00pm EST with lunch from 12:30pm to 1:00pm EST Primary Responsibilities: Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the Registered Pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to maintain inventory records Works with the Pharmacist to assist in the pharmacy functions and keeping the pharmacy in compliance with all federal and state requirements Performs various clerical duties relating to the department Communicate with solid professional verbal and written communication skills Other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Active and unrestricted Pharmacy Technician license in the state of Michigan Access to reliable transportation Preferred Qualifications: National Pharmacy Technician Certification Previous Pharmacy Technician experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED

Posted 2 weeks ago

Meijer, Inc. logo
Meijer, Inc.Zionsville, IN
As a family company, we serve people and communities. When you work at Meijer, you're provided with career and community opportunities centered around leadership, personal growth and development. Consider joining our family - take care of your career and your community! Meijer Rewards Weekly pay Scheduling flexibility Paid parental leave Paid education assistance Team member discount Development programs for advancement and career growth Please review the job profile below and apply today! The person selected for this position will be responsible for having basic pharmacy knowledge to provide customer service, to process and fill prescriptions, to provide third party functions, to manage inventory, and to provide clinical services. What You'll be Doing: Customer service. Communicating with patients in person and via telephone; assisting patients with product selection; obtaining medication prices (internally and from competitors) pursuant to patient requests. Processing and filling prescriptions. Using pharmacy computer system for prescription data entry & third party adjudication; pulling correct products from the shelf; counting and labeling prescriptions appropriately at fill station; receiving new prescriptions from patients, selling prescriptions to patients at the Will Call station. Third-party functions. Inventory management. Updating balance on hand (BOH); product ordering; looking up Meijer codes; checking-in and putting away orders; processing vendor charge backs (VCBs)/transfers/salvage. Clinical services. This job profile is not meant to be all inclusive of the responsibilities of this position; may perform other duties as assigned or required. What You Bring with You (Qualifications): Enrolled in an accredited pharmacy school. Pharmacy Intern License (state specific). Positive attitude. Excellent communication skills. Neat and legible penmanship. Organizational skills. Prioritization skills. Team-oriented mindset. Timeliness & dependability. Basic math skills. Drive to stay current and competent in all pharmacy-related functions. Excellent customer service skills. Empathy. Professional appearance. Understanding of the importance of patient confidentiality. Understanding of all patient care services available at Meijer Pharmacy. Knowledge of Third Party Help; prescription split billing. Knowledge of health screening tests available; knowledge of immunizations available; ability to perform health screening tests and immunizations after proper training and state-specific authorization; knowledge of MTM platforms and working under a pharmacist to perform these services when applicable & allowed. Knowledge of brand/generic medication names; knowledge of applicable medical/pharmacy terminology; knowledge about various dosage forms; ability to perform pharmaceutical calculations. Knowledge of MP6.

Posted 30+ days ago

B logo
Blink Health Administration LLCPittsburgh, PA
Company Overview: Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products- BlinkRx and Quick Save - remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. BlinkRx is the world's first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can't afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn't have the medication in stock. We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us! Responsibilities: Data entry of electronic, faxed, and verbal prescriptions as per Blink protocols Handle provider/physician communications including, but not limited to voicemails, outbound and inbound calls Resolve open issues submitted by a variety of departments, including pharmacists, other technicians, and Incident Coordinator team Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws Other duties as assigned in Pharmacy Technician role Requirements: Minimum 6 months prior Pharmacy Technician, or similar industry experience required PTCB or NHA certification required prior to joining or willing to become certified within 120 days of starting employment Professional phone presence in a support/service capacity Attention to detail with a high degree of accuracy Strong technical aptitude and ability to learn complex new software Competent in basic pharmacy calculations Shifts: 3 available shift options: 12 PM - 8 PM EST (Monday- Friday with rotating Saturdays) 1 PM - 9 PM EST (Monday- Friday with rotating Saturdays) Rotational 40-hour per week shifts are also available between the hours of 8 AM - 9 PM EST (Monday- Friday) and Saturday 8:30 AM - 5 PM (rotating Saturdays) All shifts require rotational Saturday shift 9am-5pm EST Location: Onsite full time position in Robinson Township (Pittsburgh) Perks: Full time position, on-site in our Robinson Township office; Closed door environment Paid Time Off- Vacation and Sick Time Health Benefits, 401K Holiday pay Overtime eligible (if available) Casual dress code #blinkindeed Why Join Us: It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population. At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances. We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year. Our business model not only helps people, but drives economics that allow us to build a generational company. We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers. We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Posted 1 week ago

John Muir Health logo
John Muir HealthConcord, CA

$88 - $119 / hour

Job Description: Pharmacists ensure the effective use of medications by providing medication order verification while assessing for optimal drug product selection, dosage regimen design, effective administration and drug therapy monitoring services. Pharmacists interact with patients, family, and other healthcare providers to assure continuity of services and to achieve desired patient outcomes through safe, timely and cost effective drug therapy. Pharmacists supervise pharmacy technicians and may be required to assume the essential responsibilities of pharmacy management in their absence. Responsible for leading pharmacy services in a clinical or operational area of the health system. Provides expertise and oversight to their designated area and to staff. For Ambulatory Care Pharmacists: Pharmacists work with patients and other healthcare providers to assure the most safe and effective medication use. Completes comprehensive medication reviews, adjusts and orders medications in alignment with collaborative practice agreements, effectively identifies and de-prescribes unneeded and/or harmful medications, provides extensive education and provides clinical expertise in Refill Clinic. Clinics include Palliative Care, Comprehensive Care Clinic (Internal Medicine), Anticoagulation Clinic and Refill Clinic. Education: School of Pharmacy- Accredited by ACPE- Required Completion of ASHP Accredited General Practice Residency (PGY1)- Preferred. (*see add'l info on this requirement in "Additional Experience" section) Experience: Healthcare- Acute Care- Preferred Completion of a Pharmacy- American Society of Healthy-System Pharmacists (ASHP)- Accredited Residency- PGY1- Preferred Additional Experience Requirements: FOR INFORMATICS (IT) PHARMACY ONLY: In addition to standard Staff Pharmacist requirements: ASHP: Accredited residency in Information Technology Required. Minimum of two (2) years clinical experience in a hospital setting or recent experience with hospital clinical information technology and pharmacy informatics knowledge Required. Well-developed written and verbal communications skills and interpersonal skills. Full understanding of pharmacy distribution and workflow. Must have knowledge of hospital clinical and ancillary services operating procedures and how departments interrelate. Ability to manage projects, meet deadlines and establish and maintain effective working relationships with all levels of hospital staff and physicians. Competency in the use of PC hardware and software FOR ONCOLOGY PHARMACY ONLY: In addition to standard Staff Pharmacist requirements, the below are strongly preferred: Must have experience in the area of hematology/oncology Must have a basic knowledge of solid tumors, hematology and common treatments. Must be able to educate, monitor, order, and follow labs for patients on chemotherapy regimens Prior experience in Inpatient pharmacy or Infusion Center setting. Prior experience in Oncology Pharmacy setting. Able to work various hours, days, weekends and shifts. Willing to rotate to all pharmacy areas. FOR PEDIATRIC PHARMACY ONLY: In addition to standard Staff Pharmacist requirements, the below are strongly preferred: Completion of a PGY-1 residency with pediatric and neonatal pharmacy services as part of the residency training or have prior experience in the area of pediatric and neonatal pharmacy services Must be able to educate, monitor, order and follow labs that pertain to pediatric and neonatal patient population Able to work various hours, days, weekends and shifts. Willing to rotate to all pharmacy areas. FOR CRITICAL CARE PHARMACY ONLY: In addition to standard Staff Pharmacist requirements, the below are strongly preferred Completion of ASHP Accredited General Practice Residency (PGY1) Completion of ASHP Accredited Critical Care Residency (PGY2) or Critical Care experience Critical Care Board certification (BCCCP) or Critical Care experience Must have a strong knowledge of critical care medicine and therapeutics Willing to rotate to other pharmacy areas FOR AMBULATORY CARE PHARMACY ONLY: In addition to standard Staff Pharmacist requirements, the below are strongly preferred: Must have a basic knowledge of chronic disease states and common treatments Must be able to educate, monitor, order, and follow labs for medications related to disease state management Prior experience in AmCare Clinic setting and disease state management. Willing to work in all AmCare Clinic settings. Completion of ASHP Accredited General Practice Residency (PGY1) preferred Advanced Practice Pharmacist (APh) License preferred Certifications/Licensures: RPH Registered Pharmacist- California Board of Pharmacy- Required BLS Basic Life Support- American Heart Association- Required ACLS Advanced Cardiac Life Support- American Heart Association- Preferred. Required by 3/31/20 for staff working Unit Based Shifts PALS Pediatric Adv Life Support- American Heart Association- Required for staff working in Pediatric Unit Based shifts and Emergency Dept Unit Based Shifts APh Advanced Practice Pharmacist License- Preferred. (*see add'l info on this requirement in "Additional Experience" section) Work Shift: 08.0 - 08:30 - 17:00 No Waive (United States of America) Pay Range: $88.03 - $118.84 Hourly Offer amounts are based on demonstrated/relevant experience and/or licensure. Pay will be adjusted to the local market if hired outside of the Bay Area. Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word 'exempt' on it. Scheduled Weekly Hours: 40

Posted 1 week ago

Essentia Health logo
Essentia HealthFargo, ND
Building Location: 32nd Avenue Building Department: 3019977 PHARMACY RESIDENCY - 32ND HOSP Job Description: Grow as a professional while you build clinical and leadership skills at Essentia Health. The Essentia Health-Fargo PGY1/PGY2 Postgraduate Health-System Pharmacy Administration and Leadership Residency Program in Fargo, North Dakota can help prepare you for a career in patient-focused clinical practice and administration of health-system pharmacy. The resident will obtain advanced knowledge in clinical practice and expertise in pharmacy administration, management, and leadership activities. The PGY1 year focuses on pharmacy practice, providing a well-rounded experience in all of aspects of patient-focused care. The structure of the first year follows the Essentia Health-Fargo PGY1 Pharmacy Residency Program. The PGY2 year provides training in health-system pharmacy administration building off the skills developed in the PGY1 year. Receive education and training that meets national quality standards. Our PGY1/PGY2 Health-System Administration Residency program is seeking accreditation by the American Society of Health-System Pharmacists (ASHP). This program is designed to provide concentrated training in clinical practice and administration of health-system pharmacy. This two-year program includes the completion of a master's degree. Offerings include a Master of Healthcare Administration. The resident will obtain advanced knowledge in clinical practice and expertise in pharmacy leadership. Participates, under the supervision of residency preceptors, in the provision of comprehensive clinical pharmacy services and quality assurance programs. Rotates through an established program of education as assigned by the Department. Performs all duties associated with interpretations, order entry, dispensing and monitoring of medications in order to provide quality pharmaceutical services to patients, physicians and other health care professionals. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the population served. Education Qualifications: Graduate of a college of pharmacy accredited by the American Council on Pharmaceutical Education required. Pharm D degree. Licensure/Certification Qualifications: East Market Licensure as a Registered Pharmacist by the Minnesota State Board of Pharmacy OR Ability to become licensed no later than August 1 after date of hire or transfer. Central Market Licensed as a Registered Pharmacist by the Minnesota Board of Pharmacy or must be registered with the Minnesota Board of Pharmacy as a Pharmacist-Intern and actively pursuing licensure as a Registered Pharmacist by the Minnesota Board of Pharmacy. Fargo: Licensed as a Registered Pharmacist by the North Dakota Board of Pharmacy or must be registered with the North Dakota Board of Pharmacy as a Pharmacist-Intern and actively pursuing licensure as a Registered Pharmacist by the North Dakota Board of Pharmacy OR ability to become licensed no later than August 1 after date of hire or transfer. FTE: 1 Possible Remote/Hybrid Option: Shift Rotation: Day/Eve/Night Rotation (United States of America) Shift Start Time: Shift End Time: Weekends: Holidays: No Call Obligation: No Union: Union Posting Deadline: Compensation Range: Employee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Posted 30+ days ago

CareBridge logo

Pharmacy Benefits Manager Pricing Strategy Analyst Manager

CareBridgeMiami, FL

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Job Description

Pharmacy Benefits Manager Pricing Strategy Analyst Manager

Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities.
  • Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing.
  • Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention.
  • Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.
  • Implements pricing in the system related to margin.
  • Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.
  • Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.

Minimum Requirements:

Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manager (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

MBA strongly preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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