Pbm Compliance Jobs (NOW HIRING)

Requirement gathering and documentation Agile methodologies Stakeholder communication • Good understanding of HIPAA compliance. Preferred Skills • Experience with PBM platforms and pharmacy ...

Utilization Review / PBM Licensure & Regulatory Filings * Prepare and submit initial, renewal, and ... Maintain compliance calendars and serve as primary liaison with state regulatory agencies and ...

Summary The Senior Counsel reports to the SVP, General Counsel and Chief Compliance Officer and is ... PBM) business lines. * Development of responses to requests for proposals/requests for information ...

Enter, access, and verify data accuracy in pharmacy and PBM systems to ensure compliance and patient safety. * Establish and maintain patient medication profiles, keeping detailed and up-to-date ...

Guaynabo, PR PBM Claims Analyst is responsible for auditing, analyzing, and tracking accounts ... Identify recurring patterns of errors, delays, or non-compliance by PBMs. * Communicate financial ...

Monitors PBM compliance, financial performance and reconciliations while identifying trends to support strategic decision-making. * Oversees a key initiative focused on the timely and accurate ...

Maintain oversight of contract renewals, amendments, compliance obligations, and key dates ... Cultivate strong, trust-based relationships with PBM executives, employer decision-makers ...

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

Enter, access, and verify data accuracy in pharmacy and PBM systems to ensure compliance and patient safety. * Establish and maintain patient medication profiles, keeping detailed and up-to-date ...

Maintain oversight of contract renewals, amendments, compliance obligations, and key dates ... Cultivate strong, trust-based relationships with PBM executives, employer decision-makers ...

Ensures compliance with all applicable policies and procedures. * Supporting the product lifecycle ... PBM) * Understanding of pharmacy lines of business: retail, long term care, home infusion, mail ...

Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...

... compliance. We combine industry expertise and integrated solutions to help companies enhance ... PBM). This position is ideal for a mid-level consultant that has a passion for working with clients ...

Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...

Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...

... compliance and alignment with client contracts and industry standards * Perform other duties as ... PBM Client Management experience working with HealthPlan clients * PBM reporting experience

Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...