Sentences with phrase «of pharmacy benefit management»

PA Reps for staff development and growth opportunities * Plan, assign, and direct work, appraise performance, reward and discipline employees, address complaints and resolve problems within the team * Assist in the hiring process * Assist in the preparation of performance reviews * Deliver performance reviews in conjunction with the Prior Auth Manager * Meet monthly with each staff member to go over performance status * Assist with training as needed * Lead weekly Team meetings with staff to keep them informed of changes to policy and procedures and corporate communications * Meet with the Prior Authorization Management team weekly to report on clinical call center performance and personnel issues Required Qualifications: * High School Diploma or equivalent * Current and unrestricted Pharmacy Technician license * 2 years» experience supervising Pharmacy Technicians in a Call Center environment * Prior Authorization experience * Knowledge of the Pharmacy Benefit Management and / or Health Insurance * Knowledge of Call Center industry through work experience and as obtained through related courses * Proficient in Microsoft Word and Excel Preferred Qualifications: * Bachelors» Degree * PBM experience * National Pharmacy Technician Certification Required Competencies: * Must have strong leadership and problem solving skills * Strong written and verbal communication skills * Strong interpersonal skills * Ability to effectively present information and respond to questions from groups of associates, managers and clients * Ability to comprehend ACD statistical reporting and apply it to the operation of the department * Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form * Ability to maintain a high level of consistency while working with team members * Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout * Ability to understand what style of conflict resolution is best suited for a particular situation * Ability to determine the needs of each individual team member and assist them in achieving set goals * Demonstrate a clear understanding of company and client confidentiality * Excellent organizational skills * Exemplary coaching / motivational skills at both an individual and team level * Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team.

The NSBA School RX Cooperative offers the best of Pharmacy Benefit Management (PBM) thru Express Scripts with a watch dog component that is focused on helping school districts keep dollars in their pockets.

Not exact matches

According to the 2013 Pharmacy Benefit Manager Customer Satisfaction Report, just released by the Pharmacy Benefit Management Institute, Express Scripts was ranked by its customers lowest in overall satisfaction and second to last in delivering promised savings and having no conflict - of - interest issues.

The combination of CVS Health, the seventh - biggest company in the U.S. by revenue, with Aetna (No. 43 on the Fortune 500) would, if it were to go through, create a corporate behemoth with $ 240 billion in annual revenue across a wide swath of the healthcare continuum, from retail pharmacy and benefit management to insurance.

Last year, health insurer Anthem said it would set up its own pharmacy - benefits management unit, after earlier accusing Express Scripts of overcharging by billions of dollars.

Mark Merritt, the CEO of Pharmaceutical Care Management Association, the trade association that represents pharmacy benefits managers like Express Scripts, which recently partnered with Imprimis to provide its compounded version of Daraprim at a cheaper cost, made it very clear that he would rather see generic competition than compounded versions.

CVS began as a pharmacy chain, acquired pharmacy benefit management (PBM) capacity, and added numerous Minute Clinics to provide easy access and low - cost usual care, then discontinued the sale of tobacco products as it changed its name to CVS Health.

CVS also has a pharmacy benefits management company stemming from its 2009 acquisition of Caremark.

The Company also owns EnvisionRxOptions, a multi-faceted healthcare and pharmacy benefit management (PBM) company supporting a membership base of more than 22 million members; RediClinic, a convenient care clinic operator with locations in Delaware, New Jersey, Pennsylvania, Texas and Washington; and Health Dialog, a leading provider of population health management solutions including analytics, a multi-channel coaching platform and shared decision - making tools.

Southborough, MA — August 30th, 2016 — RxAdvance, a full service Pharmacy Benefits Management company, announced Oscar Salazar, co-founder of Uber, and Walter Jin, founder of Carlyle Healthcare Group, have invested in Series - A funding round and join the RxAdvance board.

About RxAdvance RxAdvance is a pharmacy benefit management (PBM) company created specifically for the future of healthcare.

We drive to the lowest pharmacy benefit management cost, using a holistic approach and enterprise platform at the point - of - care and point - of - sale, that integrate data and benefits for smart formulary management and generic optimization.

Southborough, MA — May 19th, 2017: RxAdvance today announced that the International Association of Sheet Metal, Air, Rail and Transportation Workers (SMART), one of North America's most dynamic and diverse unions with 216,000 members, has awarded its multi-year pharmacy benefit management (PBM) services contract to RxAdvance beginning on Jan. 1, 2018.

Traditional Pharmacy Benefit Management (PBM) companies manage $ 370 billion of this pharmacPharmacy Benefit Management (PBM) companies manage $ 370 billion of this pharmacypharmacy spend.

RxAdvance is a national full - service pharmacy benefit manager that leverages Collaborative PBM Cloud ™ to deliver integrated PBM services through three distinct service offerings: nirvanaRxCloud ™, a cloud - based, full - service PBM solution that reduces overall pharmacy costs; nirvanaAccountableCare ™, a risk - sharing solution to reduce avoidable drug - impacted medical costs; and nirvanaSpecialty ™, a solution to convert specialty drug treatment management from «Buy & Bill» to «Authorize & Manage», while improving patient's quality of life with unmatched regulatory compliance and transparency.

His track record of successful business development and process improvement spans all aspects of the Healthcare industry including Pharmacy Benefit Management, Medical, Vision, Behavioral, Health Services, Life and Retail Services with business models ranging from start - up to national corporations.

Southborough, MA — March 3, 2014 — RxAdvance, a full service Pharmacy Benefits Management company, announced George Rapier III, MD has joined its board of directors.

They are the largest pharmacy benefit management organization in the United States, with annual revenues in excess of $ 100 billion.

Boston based RxAdvance is an innovative national full service Pharmacy Benefit Management (PBM) company created specifically for the future of healthcare to reduce overall pharmacy costs and avoidable drug - impacted medical costs leveraging disruptive Collaborative PBM Cloud ™ platform unveiling for the first time on June 3rd through June 5th at AHIP Institute 2015 in NashviPharmacy Benefit Management (PBM) company created specifically for the future of healthcare to reduce overall pharmacy costs and avoidable drug - impacted medical costs leveraging disruptive Collaborative PBM Cloud ™ platform unveiling for the first time on June 3rd through June 5th at AHIP Institute 2015 in Nashvipharmacy costs and avoidable drug - impacted medical costs leveraging disruptive Collaborative PBM Cloud ™ platform unveiling for the first time on June 3rd through June 5th at AHIP Institute 2015 in Nashville, TN.

Express Scripts is a pharmacy benefit management company offering a wide variety of services associated with providing prescription drugs to patients.

The definition of a «contributing entity» at § 153.20 provides that for the 2015 and 2016 benefit years, a contributing entity is (i) a health insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management of internal appeals, or plan enrollment for services other than for pharmacy benefits or excepted benefits within the meaning of section 2791 (c) of the PHS Act.

For Experienced As experienced pharmacy professional, I would like to make best use of my talent in terms of experience, research, and study made by me in the field of pharmacy by taking proper decision at the Management level that would benefit the company in the long run.

One of our clients has immediate openings for Pharmacy Technician Trainee's with a large Pharmacy Benefit Management company in the San Antonio are...

* Analyze, evaluate and work to resolve customer inquiries and issues * Interact with customers in a courteous and professional manner * Effectively communicate issues and resolutions to customers and appropriate internal staff * Use judgment and problem - solving skills to solve customer problems * Use multiple screens of information simultaneously to address customer needs * Follow processes according to contact center standards to ensure contact handling accuracy and operational effectiveness * Use technology tools as directed and within established guidelines * Adhere to precise work schedules, taking continuous phone calls for extended periods of time * Answer prior authorization inquiries calls as well as research and resolve formulary and benefit issues * Consistently meet established productivity, schedule adherence, and quality standards * Performs other duties as assigned by management Education / Experience: * High School Diploma or equivalent * Minimum one (1) year current / recent Pharmacy Technician experience in healthcare setting * PTCB Pharmacy Certification required or ability to obtain within six - months of employment

Assist Specialty Pharmacy operations and client services for the department including customer / patient services, management of materials, benefits coordination,...

I am experienced in Pharmacy Benefits Management, SOP and Process Improvements to earn a higher ROI, External Adjudication, Doctor Calls, analyzing work flow and supervising a team of 16 - 30 employees.

Over 14 years of experience in pharmacy sector with a concentration in the Retail and Prescription Benefit Management sectors.

Tags for this Online Resume: Pharmacy Benefit management, Pharmacist, Health Care, Managed Care, Director of Pharmacy

One study conducted by Express Scripts, a pharmacy benefit management company, found that nearly 20 % of all American men over age 45 have tried them.

Edward S. Civera served as the Chairman of the Board of Catalyst Health Solutions, Inc., a publicly traded pharmacy benefit management company (formerly known as HealthExtras, Inc.), from 2005 until his retirement in December 2011.