Pharmacy Benefits Analyst
1 week ago
We are seeking a highly skilled Pharmacy Benefits Specialist II to join our team.
This role is responsible for monitoring Pharmacy Benefits Manager activities related to all lines of business, including Medicare Part D, Commercial and MarketPlace. The ideal candidate will serve as a Subject Matter Expert (SME) for all pharmacy benefit questions, concerns, and issues from internal and external customers.
The successful candidate will research identified issues and work to resolve them. They will support new benefit design, benefit build, testing, and implementation of market competitive, cost-effective, quality-based drug benefits that meet applicable federal and state regulatory requirements.
Responsibilities include analyzing daily denied claims, coverage determinations, hospice, and end-stage renal disease (ESRD) claims. The candidate will provide research, data, and member communication and resolution regarding all Part D grievances, including vendor oversight of such activities.
Additionally, the candidate will support the Pharmacist Program Coordinator in medical benefit reviews and vendor management.
This is a full-time position with a competitive salary range of $23.22/hr - $34.83/hr. We offer a comprehensive benefits package, including medical, dental, vision, life insurance, paid time off, and education assistance.
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Chief Pharmacy Benefit Administrator
2 weeks ago
Cleveland, Queensland, Australia beBeePharmacyBenefits Full time US$93,400 - US$161,000Job SummaryThe Pharmacy Benefits Specialist II plays a pivotal role in managing pharmacy benefits for members. This involves overseeing PBM activities, serving as an expert on pharmacy benefits, and researching issues to resolve them.This position requires experience in health plan operations, pharmacy, or PBM roles with a strong understanding of Medicare...
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Pharmacy Benefits Management Professional
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Cleveland, Queensland, Australia beBeePharmacyBenefits Full time US$23,422 - US$161,000Job Summary:The Pharmacy Benefits Specialist II role involves monitoring and providing oversight of Pharmacy Benefit Manager activities, including daily monitoring of coverage determinations, denied claims, hospice, and end-stage renal disease claims. As a Subject Matter Expert for pharmacy benefits, you will serve as a key resource for internal and external...
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Pharmacy Benefits Specialist II
1 week ago
Cleveland, Queensland, Australia Summa Health Full timeJoin to apply for the Pharmacy Benefits Specialist II role at Summa Health1 day ago Be among the first 25 applicantsJoin to apply for the Pharmacy Benefits Specialist II role at Summa HealthSummaCare E Market St, Akron, OHFull-Time / 40 Hours / DaysHybrid after trainingSummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a...
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Pharmacy Benefits Specialist II
1 day ago
Cleveland, Queensland, Australia Summa Health Full timeJoin to apply for the Pharmacy Benefits Specialist II role at Summa Health1 day ago Be among the first 25 applicantsJoin to apply for the Pharmacy Benefits Specialist II role at Summa HealthSummaCare - 1200 E Market St, Akron, OHFull-Time / 40 Hours / DaysHybrid after trainingSummaCare is a Summa Health entity that offers health insurance in northern Ohio....
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Senior Benefits Analyst
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Director of Pharmacy Operations
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Director of Pharmacy Services
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Associate Dir, Pharmacy
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Cleveland, Queensland, Australia Summa Health Full timeOverview Associate Dir, Pharmacy — Summa Health SummaCare - 1200 E Market St, Akron, OH. Full-Time / 40 Hours / Days. Hybrid after training. Responsibilities Leads the administrative functions of the pharmacy department; including but not limited to pharmacy programs, pharmacy vendors and manages cross-functional relationships across the...
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Associate Dir, Pharmacy
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Cleveland, Queensland, Australia Summa Health Full timeOverviewAssociate Dir, Pharmacy — Summa HealthSummaCare E Market St, Akron, OH. Full-Time / 40 Hours / Days. Hybrid after training.ResponsibilitiesLeads the administrative functions of the pharmacy department; including but not limited to pharmacy programs, pharmacy vendors and manages cross-functional relationships across the organization. Facilitates...
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Pharmacy Prescription Enteries Specialist
2 weeks ago
Cleveland, Queensland, Australia beBeeResponsibilities Full time $60,000 - $74,000Order Entry Pharmacy TechnicianWe are seeking an experienced pharmacy technician to enter new and refill prescriptions into the pharmacy system with speed and accuracy. The ideal candidate will have a high school diploma or equivalent and relevant work experience in long-term care pharmacy.Key Responsibilities:Entering new and refill prescriptions into the...
