Sentences with phrase «with pharmacy benefit management»

On November 14, 2016, the WCA wrote to the Workers» Compensation Board commenting on the Board's recent proposals to create a formulary for prescription medications and to require insurers to contract with pharmacy benefit management companies.

Not exact matches

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.

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.

The company also announced late last month that it would be partnering with Walgreens Boots Alliance in starting the 30,000 - store network in an attempt to reduce costs both for the company and for pharmacy benefit management (PBM) members.

It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, commercial programs, home - based primary care services, life and health management, vision benefits management, pharmacy benefits management, specialty pharmacy and telehealth services.

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 — 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.

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 — September 18, 2014 — RxAdvance, an innovative pharmacy benefit management (PBM) company, has expanded its executive management team with another industry veteran, Terry A. Ramey, who joins as Executive Vice President, Business Development and Client Engagement.

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

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

Ms. Harlow began her career in 1993 with a regional pharmacy benefit management company which generated over $ 275M in annual revenue.

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.

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.

This would be with a large Pharmacy Benefit Management company working in their Prior Authorizations department.

EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sPharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related seBenefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other relatedManagement (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related spharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sebenefit design consultation, drug utilization review, formulary management, and other relatedmanagement, and other related services.

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

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.

PerformRx is headquartered in Philadelphia with offices on both coasts, leading to better pharmacy benefit management across the nation.

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