$155K - $175K/yr
... PBM industry, Medicaid, Medicare, and health plans * Experience with contract language and risk mitigation concepts Travel Requirements: Up to 10% of the time. Work is generally performed in a remote ...
$155K - $175K/yr
... PBM industry, Medicaid, Medicare, and health plans * Experience with contract language and risk mitigation concepts Travel Requirements: Up to 10% of the time. Work is generally performed in a remote ...
Manager, Implementation
Birmingham, AL · On-site +1
This position will be located in Birmingham, AL or remote. Job Responsibilities Include: * Manage ... Lead and attend calls with brokers, clients and PBM Partners around the setup of benefit design
Manager, Implementation
Birmingham, AL · On-site +1
This position will be located in Birmingham, AL or remote. Job Responsibilities Include: * Manage ... Lead and attend calls with brokers, clients and PBM Partners around the setup of benefit design
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The compensation for this role is budgeted between $150,000 and $200,000. #LI-Remote This is the ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The compensation for this role is budgeted between $150,000 and $200,000. #LI-Remote This is the ...
... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Paid Time Off (vacation, sick leave. parental leave, and holidays). * 100% remote work. * The ...
New
... payer/TPA/PBM benefits. * Expertise in using SQL to join complex datasets, investigate ... Paid Time Off (vacation, sick leave. parental leave, and holidays). * 100% remote work. * The ...
New
Experience in a managed care setting, pharmacy benefits management (PBM), or a healthcare quality ... Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting ...
Quick apply
Experience in a managed care setting, pharmacy benefits management (PBM), or a healthcare quality ... Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting ...
Remote Pbm information
What is a remote PBM?
Remote PBMs, or Remote Pharmacy Benefit Managers, are professionals who manage prescription drug benefits for health plans, employers, and other groups from a remote location. They are responsible for ensuring that members receive appropriate, cost-effective medications while balancing the needs of both patients and payers. Remote PBMs work with pharmacies, insurance companies, and healthcare providers to process claims, negotiate pricing, and implement drug formulary policies. This role can be performed from home or other off-site locations using secure digital tools and platforms.
What are the key skills and qualifications needed to thrive as a remote Pharmacy Benefit Manager (PBM), and why are they important?
To thrive as a Remote Pharmacy Benefit Manager (PBM), you need a strong background in pharmacy, healthcare administration, or a related field, often supported by relevant degrees or certifications. Familiarity with pharmacy benefit management software, claims processing systems, and data analytics tools is typically required. Exceptional attention to detail, analytical thinking, and effective communication are crucial soft skills for collaborating with stakeholders and resolving complex issues remotely. These skills ensure accurate benefit administration, regulatory compliance, and positive outcomes for clients and patients in a remote work environment.
What are some common challenges faced by remote PBM professionals, and how can they be addressed?
Remote PBM professionals often encounter challenges such as maintaining effective communication with team members, staying updated on regulatory changes, and managing sensitive health information securely. To address these, it's important to leverage collaboration tools, participate in regular virtual meetings, and stay engaged with ongoing training. Additionally, adhering to best practices for data privacy and fostering strong relationships with both clients and pharmacies can help ensure smooth operations and job satisfaction.
What is the difference between Remote Pbm vs Remote Pharmacovigilance Associate?
| Aspect | Remote Pbm | Remote Pharmacovigilance Associate |
|---|---|---|
| Required Credentials | Pharmacy or healthcare background, certifications like CPR or pharmacy license | Healthcare degree, certifications in pharmacovigilance or drug safety |
| Work Environment | Remote, healthcare or pharmacy settings | Remote, pharmaceutical or biotech companies |
| Industry Usage | Pharmacy, healthcare providers, clinical settings | Pharmaceutical industry, drug safety departments |
| Common Search/Comparison | Remote Pbm vs Remote Pharmacovigilance Associate |
Remote Pbm roles focus on pharmacy benefit management, involving healthcare and insurance processes, while Remote Pharmacovigilance Associate positions are centered on drug safety and monitoring adverse effects in the pharmaceutical industry. Both roles are remote, require healthcare-related credentials, and are used within healthcare and pharma sectors, but they serve different functions within the industry.
More about Remote Pbm jobs
What are the most commonly searched types of Pbm jobs in Alabama?
The most popular types of Pbm jobs in Alabama are:
What are popular job titles related to Remote Pbm jobs in Alabama?
For Remote Pbm jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Pbm jobs in Alabama look for?
The top searched job categories for Remote Pbm jobs in Alabama are:
What cities in Alabama are hiring for Remote Pbm jobs?
Cities in Alabama with the most Remote Pbm job openings:
$155K - $175K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 22 days ago
Job description
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs - ones that are injected or infused by a health care professional in a clinical setting - for nearly 100 million Americans. The Trade Client Strategy Director liaises with Synergie Participants and manages clinical policies to comply with manufacturer contracts, implements Trade strategies and initiatives, and collaborates with and supports Synergie's Client Relations team for Trade related inquiries. This includes medical and pharmacy drug policies, cross benefit management, and rebate qualification for manufacturer contracts. This position will establish and maintain cross functional partnerships with internal teams to drive the identification, development and successful execution of Synergie's rebate programs. This position will be the primary Trade point of contact for Synergie's Participant facing activities and will support clinical decision making at the Participant level to comply with manufacturer contracts.
Primary Job Functions
Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Partner with the following stakeholders:
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
Client Relations - Serve as Trade's primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade's leadership
Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Invoicing Team - Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
Product Team - Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs
Education, Experience, and Certification
Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
Knowledge, Skills, and Abilities
Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans
Experience with contract language and risk mitigation concepts
Travel Requirements: Up to 10% of the time.
Work is generally performed in a remote setting.
#LI-Remote
$155,000.00 - $175,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.