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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

Hy-Vee logo
Hy-VeeKansas City, MO
Additional Considerations (if any): Professional License/Certification Required At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a workforce that is fully engaged and committed to supporting our customers and each other. Job Description: Job Title: Pharmacy Technician, Certified, with Immunizations FLSA: Non-Exempt Department: Pharmacy General Function: Provides prompt, efficient and friendly customer service. Assist pharmacists in the preparation and distribution of prescription medications. Licensed, through a national certification program, as a pharmacy technician. Reporting Relations: Accountable and Reports to: District Store Director or Store Director, Store Manager or Assistant Store Director, Assistant Manager of: Health Wellness Home, Store Operations and Perishables; Pharmacy Manager, Staff Pharmacists Direct Reports: None Primary Duties and Responsibilities: Provides prompt, efficient and friendly customer service by exhibiting caring, concern and patience in all customer interactions and treating customers as the most important people in the store. Smiles and greets customers in a friendly manner, whether the encounter takes place in the employee's designated department or elsewhere in the store. Makes an effort to learn customers' names and to address them by name whenever possible. Assists customers by: (examples include) escorting them to the products they're looking for securing products that are out of reach loading or unloading heavy items making note of and passing along customer suggestions or requests performing other tasks in every way possible to enhance the shopping experience. Answers the telephone promptly and provides friendly, helpful service to customers who call. Works with co-workers as a team to ensure customer satisfaction and a pleasant work environment. Handles inquiries that do not require a pharmacist's expertise and judgment. Accepts new written prescription orders and telephoned refill requests at the discretion of the supervising pharmacist. Takes orders from or calls doctor's offices for refill prescriptions. Gathers patient information required to prepare prescriptions. Assists in maintaining correct patient information. Assists pharmacists in preparing prescription drug products for dispensing. Prepares and affixes labels to prescription containers. Prepares prescriptions to be mailed. Prepares and submits insurance claims. Files prescriptions after they have been dispensed. Reports any medication errors to appropriate personnel. Orders, checks-in, and stocks pharmacy supplies. Logs invoices as necessary. Performs cash transactions. Maintains cleanliness of pharmacy and dispensing area. Assists with third party insurance billing and trouble shooting. Maintains strict adherence to department and company guidelines related to personal hygiene and dress. Adheres to all statutes and regulations pertaining to a pharmacy technician. Adheres to company policies and individual store guidelines. Reports to work when scheduled and on time. Administer Vaccines as allowed by law Secondary Duties and Responsibilities: Assists in other areas of the store as needed. Performs other job related duties and special projects as required. Education and Experience: High school diploma or equivalent. Certified as a licensed technician through a certified national program and maintains continuing education requirements to keep license active. CPR and Immunization Certification and maintains continuing education requirements to keep license active. Previous experience as a pharmacy technician or pharmacy clerk is preferred. If applicable, vaccination certification as required by law. Physical Requirements: Must be able to physically exert up to 50 pounds of force occasionally, 10 pounds of force frequently, and a negligible amount of force constantly to move objects. Visual requirements include vision from less than 20 inches to more than 20 feet with or without correction, depth perception, color vision (ability to identify and distinguish colors), and field of vision. Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions. Knowledge, Skills, Abilities and Worker Characteristics: Must have the ability to do logical or scientific thinking to solve problems; several abstract and concrete variables. Have the ability to do arithmetic calculations involving arithmetic, algebraic and geometric calculations. Must be able to compose original correspondence; follow technical manuals; have increased contact with people; interview counsel or advise people; evaluate technical data Working Conditions: This position frequently involves a fast work pace in a retail store setting. Must be able to handle multiple tasks (filling scripts, answering telephone, waiting on customers, etc.) every day. There is an occasional exposure to dangerous chemicals/solvents while compounding products and chemotherapy drugs. Equipment Used to Perform Job: PC with pharmacy software and printer, cash register, C.A.R.S. ordering system, pharmacy balance, scanner, calculator, telephone, fax, and copier. Confidentiality: Maintains the confidentiality of the customer's private medical information according to the HIPPA act. Contacts: Has daily contact with customers, general public, and suppliers/vendors. Has occasional contact with community or trade/professional organizations and federal/state governmental or regulatory agencies. I understand that this pharmacy handles and prepares hazardous drugs. The USP 800 is intended to ensure that personnel of reproductive capability understand the risks of handling hazardous drugs. Accordingly, I acknowledge that exposure to hazardous drugs may cause acute and chronic effects. Failure to follow pharmacy policies and procedures may put me at greater risk of exposure to hazardous drugs. Are you ready to smile, apply today. Employment is contingent upon the successful completion of a pre employment drug screen.

Posted 1 week ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Wheelersburg, OH

$18 - $32 / hour

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 Specialty Pharmacy Liaison with CPS Solutions, LLC, you will engage directly with patients to coordinate pharmacy services through the health system's specialty and retail pharmacy. Acting as a bridge between patients, providers, and the pharmacy, this role focuses on improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely with the CPS Patient Care Services team and works under the direct supervision of a pharmacist. Pharmacy Location: Southern Ohio Medical Center Specialty Pharmacy - 8940 Ohio River Rd Wheelersburg, OH 45694 Schedule: Monday through Friday 8:30am-5:00pm, 40 hours per week Primary Responsibilities: Initializing and leading ongoing work in clinics and ensuring that the patient/CPS engagement is appropriate and consistent with their preferences. This includes: Ensuring that every patient who can benefit from specialty pharmacy services is identified and met in clinic upon arrival Explaining the benefits of our specialty pharmacy, without impeding patient choice of pharmacy, and achieving patient participation Successfully enrolling patients into the program Performing all benefits investigation, prior authorization, and financial assistance work needed to ensure patients have access to the medication they need Overseeing services provided to enrolled patients - ensuring that everything from order entry to final verification is completed quickly, accurately, and in accordance with patients' needs Providing direct support to enrolled patients to ensure that they are supported throughout their therapy regimen and achieve their intended outcome. This includes: Conducting outbound phone calls for patient support, adherence checks, and refill reminders Accepting inbound calls from patients, as needed and sharing in on call coverage to ensure 24/7 patient support Appropriately triaging any clinical questions to an appropriate clinician (pharmacist, nurse, or provider) 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: High school diploma or equivalent (college degree preferred) Active Pharmacy Technician license in good standing in applicable state Recent work experience as a Pharmacy Technician, ideally in specialty or outpatient settings Experience supporting clinical pharmacy programs and performing administrative tasks such as prior authorizations and data entry Preferred Qualifications: Experience in a health system specialty pharmacy as an in-clinic liaison Experience working with various disease states Solid knowledge of medication regimens, age-specific dosing, and managed care practices Proficient in pharmacy systems, care management platforms, and Microsoft Office (Outlook, Word, Excel) 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 $17.74 to $31.63 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.

Posted 2 weeks 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

CVS Health logo
CVS HealthSherwood, Oregon
You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day. Our 3rd year Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a 3rd year Pharmacy Intern, you will be focused on applying didactic learning from pharmacy school into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor, you will complete a comprehensive training roadmap designed to show you first-hand what it’s like to be part of a pharmacy team while gaining an overview of store, district, and regional operations. You will gain valuable hands-on experience through a training roadmap that includes a combination of Key Learning Experiences (KLEs), activities, and time spent with leaders in your district. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds patient expectations. You will learn to operate as part of the pharmacy team through consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication. Throughout your shifts and in all customer and colleague interactions, you will learn to demonstrate empathy and genuine care, and contribute to a safe and inclusive culture where all people feel valued and empowered. 3rd year Pharmacy Interns are responsible for completion of a comprehensive training roadmap, focusing on KLEs that build aptitude in the following areas. As tenure increases, 3rd year Pharmacy Interns take on increasing responsibility of the safety and effectiveness of operations in the pharmacy, including but not limited to: Living our purpose by following all company SOPs at each workstation to help our Pharmacists and Technicians manage and improve patient health Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment Contributing to positive patient experiences showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone; keeping patients healthy by offering immunizations and other services at the register and over the phone; and demonstrating compassionate care by solving or escalating patient problems Offering to counsel, fielding medical questions, and soliciting information on a patient’s medical history to provide optimal care, when appropriate under the direct supervision of a licensed pharmacist Taking telephonic prescriptions from the prescriber, and calling the prescriber to clarify prescriptions or facilitate medication changes, where allowed by state regulation Maintaining the highest level of self-awareness and providing in-the-moment coaching, training, and mentoring to pharmacy team members while sharing best practices Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc. Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback; actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic; voluntarily traveling to stores in the market to work shifts as needed by the business Understanding and complying with all relevant federal, state, and local laws, regulations, professional standards, and ethical principles. Complying with CVS policies and procedures to ensure patient safety, compliance with controlled substance dispensing and recordkeeping, and to protect patient privacy and security Delivering additional patient health care services (e.g., immunizations, point-of-care testing, and voluntarily staffing offsite clinics), where allowable by law and supported by required training and certification Where permissible, the 3rd year Pharmacy Intern may also support immunizations, which includes the following responsibilities: Completing additional licensure and training requirements, in compliance with state Board of Pharmacy regulations, to obtain Technician Immunizer status to support preparing and administering vaccines Educating patients about the importance of vaccines and referring patients to the Pharmacist-on-duty for vaccination questions Monitoring for, and responding to, adverse reactions; reporting adverse reaction events per public health requirements Reviewing and collecting patient information; tracking and documenting for each applicable patient Required Qualifications: Accepted into, or actively enrolled in, an ACPE accredited college or school of pharmacy Must possess, or be in the process of obtaining, valid intern and/or technician licensure as required Essential Functions: Regular and predictable attendance, including nights and weekends Ability to complete required training within designated timeframe Attention and Focus: Ability to concentrate on a task over a period of time Ability to pivot quickly from one task to another to meet patient and business needs Ability to confirm prescription information and label accuracy, ensuring patient safety Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner Notice and understand patients’ reactions, and respond appropriately Communication Skills: Use and understand verbal and written communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times Mathematical Reasoning: Ability to use math to solve a problem, such as determining the total number of tablets to dispense, day’s supply, and/or number of full bottles and additional bottles needed to fill a prescription Problem Resolution: Identifying challenging patient or colleague interactions and choosing the best course of action when faced multiple options Physical Demands: Be mobile and remain upright for extended periods of time Lift, scan, and bag items Reach overhead; stretch or reach out with the body, arms, and/or legs to grasp items Move fingers repetitively; picking, pinching, typing, or otherwise working primarily with fingers rather than whole hand or arm Extend hand(s) and arm(s) multiple directions to place, move, or lift items Control precision; quickly adjust machines to exact positions Stoop to a considerable degree, requiring full use of the lower extremities and back muscles to move items between low and high positions, including bending spine at the waist Close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts Occasionally lift of up to 20 lbs and/or exert up to 20 lbs. of force; Frequently lift of up to 10 lbs and/or exert up to 10 lbs. of force; Consistently lift and/or exert a negligible amount of force to move objects. Express or exchange ideas by means of spoken word where detailed or important spoken instructions must be conveyed accurately ; Have the ability to receive detailed information through oral communication Any additional tasks as directed by Supervisor or Manager Preferred Qualifications: 1+ years of related work experience in pharmacy, retail, medical, or customer service setting Ability to become immunization certified: Once state regulations are met, pharmacy interns should be striving to provide patient immunizations as this is an essential pharmacist function Ability to work in home store, and across the market in other locations, to meet business needs Proficiency in Microsoft Suite (Outlook, Excel, Word, PowerPoint, etc.) Pay Range The typical pay range for this role is: $0.00 - $0.00 Whether in our pharmacies or through our health service offerings, we are pioneering a bold new approach to total health care. As health care innovators, we are making quality care affordable, accessible, simple and seamless. We await your fresh ideas, new perspectives, and the unique contributions you will make to our organization. We anticipate the application window for this opening will close on: 03/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Posted today

M logo
Mosaic Community HealthPrineville, OR
The Pharmacy Technician assists the pharmacist in delivering high-quality pharmaceutical care as directed. This includes accurately entering all patient and prescription information into pharmacy information system; accurately filling prescriptions; troubleshooting third party rejections to get billing problems resolved; performing inventory control and management; providing excellent customer service by waiting on patients at the pharmacy window; verifying all information upon accepting Rx's and when ringing out Rx's at the point of sale; answering incoming phone calls and referring to appropriate staff member if unable to answer question; balancing the daily cash drawer and preparing deposit; filing hard copies of Rx's and other paperwork as needed; receive and shelve pharmaceuticals and OTC products to proper location and assist with inventory management. The pharmacy technician will maintain active and unrestricted licensure through the Oregon Board of Pharmacy. Responsibilities Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations. Organizes medications for pharmacist to dispense by profiling prescriptions, preparing labels, and calculating quantities. Ensure medication availability by maintaining accurate pharmacy inventory. Support patients in obtaining needed medications via various patient assistance programs as needed. Accurately process prescription claims and pharmacy financial transactions according to company policy and state and federal law. Troubleshoot pharmacy related problems, escalating issues to the pharmacist where appropriate. Participate in all internal and external compliance measures with company and state/federal rules and laws. Always maintain professional working relationships, with the pharmacy personnel, physicians, nurses, and other medical personnel. Skills & Knowledge Spanish language fluency preferred. Excellent verbal and written communication skills and reading comprehension. Who We Are Mosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income. We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Community Health, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment. Mosaic Community Health offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit 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

LCMC Health logo
LCMC HealthCovington, LA
Your job is more than a job. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary. Lakeview Hospital, the center of LCMC Health's extraordinary community of care on the Northshore, provides the only Level II trauma center in St. Tammany Parish. Along with our signature healthcare and wellness services, we continuously adopt the latest treatments, technologies, and medical innovations to better serve our patients. Learn more about Lakeview Hospital and our nationally recognized standards of excellence for heart, stroke, orthopedic, and women's care. Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems - it's all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do. You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. To ensure quality care and service, we may use information on your application to verify your previous employment and background. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

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

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Norfolk, VA

$16 - $28 / hour

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 per diem Pharmacy Technician you will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs; billing. You will carry out your job duties according to written procedures and guidelines based on pharmacy standards and regulatory requirements. 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: High school diploma or equivalent Active applicable state Pharmacy Technician license in good standing Recent work experience as a Pharmacy Technician, ideally in a hospital or outpatient setting Proficiency with pharmacy software Preferred Qualification: PTCB/CPhT 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.

Posted 2 weeks ago

St. Elizabeth HealthCare logo
St. Elizabeth HealthCareEdgewood, KY
Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. Benefits That Support You We invest in you - personally and professionally. Enjoy: Competitive pay and comprehensive health coverage within the first 30 days. Generous paid time off and flexible work schedules Retirement savings with employer match Tuition reimbursement and professional development opportunities Wellness, mental health, and recognition programs Career advancement through mentorship and internal mobility Job Summary: This position works in our medication management clinic - office setting helping with appointments, lab work reminders, follow medications from outside pharmacies, etc. The technician, under the direct supervision of a licensed pharmacist and in accordance with all state and federal laws, assist with the selection, procurement, storage, preparation, record keeping, and financial reconciliation, and dispensing of all medications dispensed to outpatients through Medical Village Pharmacy. Provide guided oversight and coordination of hospice, 3rd party claims, offsite facilities (Mubea, Aurora Casket, etc.), assist with Discharge Medication Delivery Service prescription filling and/or Specialty Pharmacy. Monitor the inventory and ordering process. They must demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Answer phone in timely and courteous manner while complying with HIPPA. Immediately greet customers in a warm and friendly manner as they enter the pharmacy and assist with their needs. Solve issues that arise in a timely manner; documenting all relevant information on the patient's record. Assures stock is in date by overseeing expiration date checking of assigned area as well as clean/organize pharmacy following the 5 "S's". (Sort, Straighten, Shine, Standardize, and Sustain) Monitor and track hospice prescriptions assuring proper documentation, accountability and adherence to procedure and state law. Assist pharmacist in dispensing of medications in a timely and accurate manner. Understand the intricacies of third-party billing, adjudication and assist the pharmacist or patients is resolving issues in this process. Assist with the ordering and delivery process. Understand and can complete orders from wholesaler, including placing order, receiving order, checking in the order, accounting for variance of items ordered and items received, and putting on shelves using "First In, First Out" method and sound accounting principles. Understand unique programs offered and assist with prescription filling. These include Discharge Medication Delivery Service, Meds to Beds, Social Service prescriptions and other services such as immunizations. Successfully receive, order and dispense offsite business partners' medication requests. Understand the process used for each business (MD Scripts, Packedge, and or Microsoft Excel Labels.) Perform other duties as assigned. Education, Credentials, Licenses: High School Graduate or equivalent GED PTCB or NHA certification BOP Registration in state where work is being performed per state regulations Specialized Knowledge: Critical thinking and problem solving. Customer service skills and reflect the ICARE attitude. Understanding of Metric system. Typing and computer knowledge including Microsoft Excel. Understanding of Metric system and Rx calculations Medical terminology Know brand and generic medication names for the top 100 drugs as well as drug schedule. Must pass written exam with minimum grade of 80%. DESIRABLE Inventory management experience. Experience working with diverse populations. Proficient in multiple languages. MTM billing. Medicare B billing. 340B Purchasing Program knowledge. Prescription prior authorization submission experience 3 months retail or specialty pharmacy experience. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Posted 3 weeks ago

Brigham and Women's Hospital logo
Brigham and Women's HospitalBoston, MA

$18 - $26 / hour

Site: Massachusetts Eye and Ear Infirmary Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary The Pharmacy Intern YR3 supports the mission of the Pharmacy department by ensuring that the right patient receives the right medication in a safe and timely manner under the direct supervision of a Pharmacist. Develops a full understanding of the drug distribution system and demonstrates competency in carrying out all duties associated with delivering medications to the patient care areas. Uses related computer software, gains experience in the interpretation, verification, order entry, compounding, and dispensing of pharmaceuticals and pharmaceutical supplies. The Pharmacy Intern may also be involved in the dissemination of drug information. Does this position require Patient Care? No Essential Functions Participate in interdisciplinary rounds. Work collaboratively with the treatment team to maximize individual patient outcomes. Perform medication history interviews, first dose teaching, food-drug interaction counseling, discharge counseling, assessment of education, and adherence. Create updated medication lists for patients upon discharge from hospital stay or end of clinic appointment. Counsel patients on prescription and over-the-counter medications and devices. Monitor medication therapies through performing profile reviews, interpreting laboratory values, and ensuring drug regimens are consistent with medication use guidelines and protocols. Qualifications Education Bachelor's Degree Pharmacy/Pharmaceutical Studies required Can this role accept experience in lieu of a degree? No Licenses and Credentials Pharmacy Intern [State License] - Generic- HR Only required Pharmacy Technician Certification [CPhT] - Pharmacy Technician Certification Board (PTCB) required Experience Pharmacy Experience 2-3 years required Knowledge, Skills and Abilities- Ability to learn computer and application skills as applicable to role.- Ability to interact with and work around people.- Ability to make judgments in demanding situations.- Ability to react to frequent changes in duties and volume of work.- Effective verbal and written communication skills.- Ability to listen empathetically.- Ability to logically organize details. Additional Job Details (if applicable) Physical RequirementsStanding Frequently Walking Frequently Sitting Occasionally Lifting Frequently Carrying Frequently Pushing Occasionally Pulling Occasionally Climbing Rarely Balancing Frequently Stooping Occasionally Kneeling Occasionally Crouching Occasionally Crawling Rarely Reaching Frequently Gross Manipulation (Handling) Frequently Fine Manipulation (Fingering) Frequently Feeling Constantly Foot Use Rarely Vision- Far Constantly Vision- Near Constantly Talking Constantly Hearing Constantly Remote Type Onsite Work Location 243-245 Charles Street Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Day (United States of America) Pay Range $18.22 - $26.06/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Massachusetts Eye and Ear Infirmary is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Posted 4 weeks ago

John Muir Health logo
John Muir HealthWalnut Creek, CA

$46 - $69 / hour

Job Description: The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that the program is maximally and that related records are complete, accurate, auditable, and that primary objectives as defined are met. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost savings returns are being realized. Assists with implementation of and adherence to 340B related policies and procedures. Oversees 340B internal audit program, and serves as the 340B analyst and assess data trends and reports as identified by the organization. Education: Bachelor of Science or Bachelor of Arts degree in business or health-related field, or current unrestricted State of California Pharmacy Technician licensure- Required National Pharmacy Technician Certification (PTCB)- Preferred Apexus Advanced 340B Operations Certificate- Preferred Experience: Must demonstrate three to five years of experience performing in a 340B hospital oversight role with responsibility for policies, audits, data analysis, and compliance. Must possess good organizational, problem-solving, and analytical skills Must demonstrate effective oral and written communication skills Experience in managing 340B purchases in a mixed-use setting with a third-party administrator Experience with 340B purchasing Additional Experience: Must have expert-level Microsoft Excel reporting and analysis skills Must have experience overseeing a third-party administrator (TPA) integrated with an electronic health record (e.g. Epic) Experience overseeing a 340B contract pharmacy program (preferred) Certifications/Licensures: Requires pharmacy technician licensure in the state of California Apexus Advanced 340B Operations Certificate- Preferred Essential Job Functions: Policy and Procedure Development/Training/Education Support Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved. Tracks organizational 340B training and reports findings. Provides ongoing training, education, and communication required for the 340B Program at the organization. Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient and to address any problems or suggestions for improvement. Rules/Guidance Surveillance Monitors and assesses 340B guidance, industry publications and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Ensures that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation. Effectively and continually maintains open lines of communication with all staff and management involved with the 340B program. Provides timely and accurate communication, both written and verbal as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution. Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations and updates policies and procedures. Registration/Recertification Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entities and ensuring that annual HRSA recertification is completed per established timelines, including any quarterly updates. Supports primary contact and authorized official to ensure proper registration and recertification are followed. Self-Audits Develops, executes, and documents comprehensive self-audits of the 340B process. Conducts regular audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies, including contract pharmacy locations. Coordinates and ensures remediation of any audit finding.. Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent future billing issues. Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes. Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status. Monitors 340B compliance within workflow processes. Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy. Evaluates covered entity compliance at the contract pharmacy, covered entity, and wholesaler levels, including 340B purchasing. Performs regular independent compliance audits and reports findings to the 340B Executive Committee. External Audits Serves as the point person and coordinator for all audits. Coordinates all requests and responses. Maintains a current state of "audit readiness." Works with medical auditors on third-party payer audits to ensure coordination of efforts and maximum collection. 340B Contract Management Manages relationships, billing services, and compliance with contracted 340B pharmacies. Program Enhancement/Optimization Assesses opportunities for cost savings and business improvements with the 340B program. Develops action plans to close identified gaps in collaboration with organizational leadership. Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement. Reporting Routinely prepares and monitors regular reports on 340B participation that clearly document utilization, savings, compliance, potential areas of concern, and exceptions or discrepancies, to be communicated to pharmacy leadership and the 340B oversight committee. Develops routine reports that are a by-product of the inventory process and software, allowing for concise information to be communicated to the leadership responsible for 340B inventory management. Constructs appropriate financial metrics to track program value and assess areas of opportunity. Reviews and refines 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns. Coordinates monthly financial reporting and analysis, including, but not limited to, metric reporting, scorecards, and variance analysis and reporting. Ensures appropriate documentation and audit trail across areas of responsibility. Purchasing/Inventory Oversight Monitors purchasing records for each 340B participant; clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Relays results to pharmacy leadership and administration. Monitors for 340B pricing exclusions or shortages and establishes appropriate records to track exceptions. Participates with the Prime Vendor and routinely reviews 340B OPAIS pricing reports, identifying opportunities for formulary enhancement or wholesaler credits Manages and tracks 340B drug inventory, including proper replenishment. Ensures compliance with regulations related to 340B purchasing, including preventing GPO pricing for applicable accounts. May be required to work on inventory management of the 340B Program and offer input as to the application's overall functionality and opportunities for improving compliance and or efficiency. Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Oversees 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas. Split-Billing or Third-Party Administrator Software Maintenance Establishes a routine approach to updating the CDM/crosswalk for new products and product changes to ensure both the accuracy of the utilization report and the efficiency and accuracy of the charge process. Maintains 340B split-billing software integrity and reviews applicable reports to identify areas for improvement. Is responsible for maintenance and testing of tracking software. Integrates information from the pharmacy chargemaster system into the 340B split-billing computer system and incorporates that information into auditable and compliant processes. Works with outpatient pharmacy management and pharmacy informatics teams to ensure that the organization's clinical information system is coordinated and integrated into the work with the 340B Program. This shall include the electronic interfaces between the EMR and the virtual accumulator and any interfaces between the organization and contract pharmacy providers and/or administrators. Ensures split-billing software integrity and reviews applicable reports for areas of improvement. Periodically performs audits or compliance assessments in specific areas and specific products to ensure that the CDM is accurate, charges are coming across accurately, and the utilization numbers are translating accurately into report for 340B reorders. Oversees split-billing software maintenance and maximizes compliance. This is an ON SITE ROLE with remote work up to 2 days per week. Work Shift: 08.0 - 08:00 - 16:30 No Waive (United States of America) Pay Range: $46.10 - $69.13 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 30+ days ago

Greater Baltimore Medical Center logo
Greater Baltimore Medical CenterTowson, MD

$19 - $29 / hour

Under direct supervision and following prescribed procedures, assists in processing physicians' medication orders. Prepares various drugs and I.V. solutions for delivery to patients and labels pharmaceutical orders. Performs measuring, mixing, and pouring in conjunction with compounding activities for patient care. Education: HS or equivalent. Licensures/Certifications: Maryland Registered Pharmacy Technician, required Certified Pharmacy Technician (CPhT) Certification, must obtain national or non-national certification within 90 days of hire Experience: Not Applicable Skills: Basic knowledge of the metric system. Basic knowledge of the different types of pharmaceutical dosage forms and drug nomenclature. Ability to perform the basic ratio and proportion mathematical calculations. Ability to enter data via various computer applications in a timely manner. Performs other duties as assigned. Competent to safety handle medications Principal Duties and Responsibilities: Triages telephone calls / window requests. Operates pharmacy automation systems to include Medtech, AccuDose, DoseEdge, Medex, Pharmacy Keeper Prepares medication for dispensing using the pharmacy operations automated systems. Fills medication orders by obtaining appropriate drug products, preparing any necessary labels, completing appropriate records, and completing appropriate records for drug distribution. Notifies pharmacist of any discrepancies. Delivers medications as needed throughout the shift. Replenishes Pharmacy dispensing stock, places them in the appropriate locations and notifies Pharmacy Purchasing Coordinator of low stock situations. Assists in controlled substance inventory, record keeping and distribution. Develops and/or maintains competency in sterile preparations. Completes IV validation on a yearly basis. Passes Competency Evaluation for Sterile products annually Aseptically prepares sterile products using appropriate techniques. Maintains clean room in compliance with regulations. Assists with maintains all records for sterile processing. Performs compounding of medication products using appropriate techniques to measure, pour, and compound. Performs miscellaneous departmental housekeeping duties. Prepackages oral medications (i.e., tablets, capsules and liquids) and prepares I.V. solutions for dispensing to patients maintaining appropriate records.. Completes assigned medication unit inspections by the 20th each month. Reads e-mail daily on scheduled work days. Sorts various documents sent to the department and appropriately distributes accordingly for processing in a timely fashion. Identifies and anticipates issues. Takes responsibility to resolve issue. Readily accepts challenges and performs assignments effectively. Other duties as assigned. Pay Range $19.34 - $29.00 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Posted 30+ days ago

Vizient logo
VizientIrving, TX

$88,800 - $155,500 / 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 lead consulting engagements that deliver measurable clinical, financial, and operational improvements across pharmacy services. You will analyze pharmacy operations, supply chain and financial processes, and complex data sets to identify opportunities for spend reduction, revenue optimization, and enhanced service delivery. You will collaborate with internal teams and client pharmacy leaders to design innovative solutions, guide program development, and translate insights into actionable strategies that strengthen pharmacy business performance. Responsibilities: Lead the development of creative, data-driven solutions and new program offerings that enhance pharmacy business and financial performance. Partner with Spend Management, Analytics, and Pharmacy Leadership teams to improve operational efficiency, clinical outcomes, and cost management across the pharmacy enterprise. Conduct advanced financial and operational analyses, including evaluation of contracting opportunities, pricing strategies, reimbursement methodologies, and product conversions. Provide subject matter expertise in pharmacy supply chain processes, including purchasing optimization, contract compliance, NDC alignment, and monitoring best-available pricing. Collaborate with clients and internal teams on product enhancements, custom analyses, data mining, and report generation, synthesizing complex datasets into actionable recommendations. Develop dashboards, presentations, and insights for diverse audiences, including pharmacy leaders, finance teams, and executive stakeholders. Support program development by identifying new opportunities for cost savings, revenue enhancement, and workflow optimization. Execute assigned project plans, prioritize tasks, and ensure the timely delivery of milestones and objectives. Foster strong relationships with clients and internal partners by facilitating knowledge sharing, aligning strategic priorities, and supporting implementation of value-driven initiatives. Identify areas to improve tools, methods, processes, and services that enhance both internal team performance and client outcomes. Qualifications: Relevant degree preferred; advanced degree preferred. 5 or more years of relevant experience required. (e.g., pharmacy operations, pharmacy business management, or related consulting or analytical roles) Proficiency in analytics, financial modeling, and large dataset manipulation; strong critical thinking and problem-solving skills. Knowledge of pharmacy billing, reimbursement practices, and pharmacy supply chain processes, including wholesalers, distributors, and GPO contracting. Experience interpreting and presenting complex operational and financial information to pharmacy and executive leadership. Strong communication and presentation abilities, with demonstrated experience influencing decision-making. Ability to collaborate effectively with cross-functional teams in a virtual environment. 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 $88,900.00 to $155,500.00. 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 4 weeks 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! Description: As an Pharmacy Partner Coordinator, you will be the primary point of contact for our external pharmacy partners and will be responsible for maintaining effective communication regarding daily billing and operational inquiries to ensure shipment processing times are in accordance with company standards. You will also be responsible for managing the investigation, reporting, and patient communication for claims of potential incidents. Location : This is a fully onsite opportunity based out of our Robinson Township, PA office (Pittsburgh) Work Hours: Monday- Friday, 10AM- 6PM EST AND rotating Saturdays from 9AM- 5PM (based on business needs) Responsibilities: Manage all aspects of internal processing and shipping related escalations and needs, including but not limited to: Respond to internal shipping escalations promptly (expedited shipping requests, reshipments, etc.) Identify orders pending shipment on a daily basis with appropriate follow up and resolution Document all pertinent information and data discovery according to operating procedures Collaborate with pharmacist team to resolve billing, clinical and inventory inquiries received from external pharmacy partners Solve complex escalations that arise from other operational departments to ensure orders continue progressing as expected Collaborate internally with multiple departments to ensure operational inefficiencies and/or potential issues are identified and escalated Act as intermediary for external pharmacy shipping partners: Provide routing information and shipping instructions to external pharmacy partners to ensure deliveries arrive on time and at the correct location Confirm routing and shipping information for all mail deliveries, keeping a meticulous record of shipments, including confirmation of delivery Resolve issues that may prohibit a shipment from progressing as expected Manage all aspects of internal claims of potential incidents, including but not limited to: Monitor and manage open patient and pharmacy-reported incidents quickly and decisively Report required incidents in Healthicity Work to improve the logistics process by identifying areas of opportunity which include, increasing efficiency and developing innovative solutions for logistical issues Review daily reporting to ensure the business is on target to meet and exceed outcomes Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as state and federal laws Requirements: At least three years of pharmacy experience with demonstrated success in resolving third-party claims. High school diploma or GED required, Bachelor's degree strongly preferred Exceptional verbal and written communication skills Strong analytical thinking, sound judgment, and a solid operational mindset. Commitment to delivering exceptional patient care Ability to collaborate effectively within team and cross-functionally Advanced technical aptitude with the capacity to quickly learn and adapt to complex software systems. Experience with Google Suite Experience mentoring or informally training other employees is a plus 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 30+ days ago

T logo
Trinity Health CorporationMishawaka, IN
Employment Type: Part time Shift: Description: Pharmacy Tech - Home Infusion PRN (as needed) Day Shift Why Saint Joseph Health System? At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care. What we offer: NO mandatory overtime Daily Pay Retirement savings account with employer match Generous paid time off programs Employee referral incentive program State of the art equipment Supportive team approach About the job: Assists in the operation of the Pharmacy Dept and is driven to meet and exceed customer expectations. Responsible for achieving timely medication preparation, labeling and delivery. Dedicated to achieving the highest level of quality of care, customer service, and colleague satisfaction. Ensures prompt distribution of intravenous drugs and other pharmaceuticals to patients or caregivers. Review inventory to ensure IV medications are properly stored controlled and rotated. Process pharmacy charges, ensuring IV medications and supplies are properly charged or credited to each patient's account. Answers telephones and customer window and routes requests accordingly Requirements: Education: HS Diploma or GED equivalent Licensure: Current Indiana licensure as a Pharmacy Technician or Pharmacy Tech in Training with licensure within one year. Certified Pharmacy Technician (CPhT) preferred. Experience: Two years hospital/institutional pharmacy experience preferred IV admixing experience strongly preferred. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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

CareBridge logo

Pharmacy Benefits Manager Pricing Strategy Analyst Manager

CareBridgeWest Des Moines, IA

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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.

Automate your job search with Sonara.

Submit 10x as many applications with less effort than one manual application.

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