Pharmacy Benefit Manager Operations Specialist Job at CVS Health

Patient Support Specialist

The Patient Support Specialist, under the direction of the Supervisor, is respon...

Location

United States , Whippany

Salary:

20.90 USD / Hour

ConnectiveRx

Expiration Date

Until further notice

Requirements

Call Center operating metrics and performance management experience (a plus)
Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
Fluent in English/Spanish (a plus)
1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred
Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
Communication skills: ability to convey information in easy-to-understand language. Actively listens
Uses writing effectively to create documents, Uses correct spelling, grammar, and punctuation
Customer Focus

Job Responsibility

Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care and reimbursement needs and responds. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence. Based on volume, may also process claims and/or may answer phones
Refers requests for escalation as needed and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues
Performs other assignments as needed
May be asked to assist other departments as needed with an administrative task (mail sort and/or claims processing)

What we offer

Immerse yourself in an excellent company culture with fun events and volunteer opportunities
Enjoy competitive benefits, including medical, dental, vision, and more
Please take advantage of our 401k package with a dollar-for-dollar match-up
Generous PTO and paid holiday days are offered
Embrace opportunities for professional and personal growth in our team-oriented atmosphere

Patient Support Specialist

The Patient Support Specialist, under the direction of the Supervisor, is respon...

Location

United States , Whippany

Salary:

19.00 USD / Hour

ConnectiveRx

Expiration Date

Until further notice

Requirements

Call Center operating metrics and performance management experience (a plus)
Knowledge of pharmacy benefits, health care insurance, and/or medical billing (a plus)
Some experience with any Third-Party system (SelectRx, Pro-Care, FSV) (a plus)
Experience with Call Center software (Five9, In-Contact, or similar) (a plus)
Fluent in English/Spanish (a plus)
1+ years in a health care or case management experience in a high-volume contact center environment or similar environment preferred
Experience working in pharmacy benefits, health care insurance, and/or medical billing (preferred)
Communication skills: ability to convey information in easy-to-understand language
Customer Focus
high level of empathy and emotional intelligence

Job Responsibility

Responds to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care and reimbursement needs and responds
Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence
Based on volume, may also process claims and/or may answer phones
Refers requests for escalation as needed and engages other internal areas such as Program Management, IT and other Contact Center teams to resolve issues
Performs other assignments as needed
May be asked to assist other departments as needed with an administrative task (mail sort and/or claims processing)

What we offer

Immerse yourself in an excellent company culture with fun events and volunteer opportunities
Enjoy competitive benefits, including medical, dental, vision, and more
Please take advantage of our 401k package with a dollar-for-dollar match-up
Generous PTO and paid holiday days are offered
Embrace opportunities for professional and personal growth in our team-oriented atmosphere

Fulltime

Pharmacy Lead Technician

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Danville

Salary:

18.00 - 27.00 USD / Hour

CVS Health

Expiration Date

April 25, 2026

Requirements

1+ years of experience as a Pharmacy Technician
Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 18 years of age as allowed by state employment laws
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, as defined by the state, or be actively enrolled in high school or high school equivalency program
Ability to work 30 hours or greater per week
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety

Job Responsibility

Act as an example for and support the pharmacy team in delivering operational and service excellence
Assist in ensuring that pharmacy operations run smoothly
patients’ prescriptions are filled promptly, safely, and accurately
and that the team provides caring service that exceeds patient expectations
Champion and coach consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication with the pharmacy team
Follow all company SOPs at each workstation to help our Pharmacists and pharmacy team manage and improve patient health
Follow, and coach the pharmacy team to follow, pharmacy workflow and procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contribute to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance

Fulltime

Billing Manager

We are offering an exciting opportunity for a Billing Manager in Dallas, Texas. ...

Location

United States , Dallas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelors degree required
Minimum of 5 years of experience in a similar role as a Billing Manager
Proficiency in Customer Relationship Management (CRM) systems
Extensive knowledge of accounting functions
Expertise in managing Accounts Receivable (AR)
Proven experience in billing procedures
Strong background in collections operations
Excellent leadership and team management skills
Bachelor's degree in Accounting, Finance, or a related field is preferred
Strong organizational and multitasking skills

Job Responsibility

Oversee the daily billing operations for pharmacy benefit management services, ensuring that all transactions are accurate and comply with contractual terms, regulations, and deadlines
Supervise and guide a team of billing specialists, providing them with the necessary support and training to process billing tasks efficiently
Assist with the upgrading of billing systems and tools, making sure they are updated with accurate client information
Act as the primary contact for clients and stakeholders regarding billing inquiries, concerns, and discrepancies, working closely with external parties to resolve billing-related issues promptly
Monitor billing practices for compliance with federal and state regulations, internal policies, and client-specific requirements
Ensure the proper processing, tracking, and resolution of claims, including the review and approval of invoices related to pharmacy services and benefits
Prepare and present regular billing reports, financial analysis, and metrics to management, ensuring reports align with established budgets and financial targets
Collaborate with IT to dramatically improve the billing process
Resolve any billing disputes or discrepancies, working closely with both internal teams and external clients/TPAs/brokers to ensure that issues are handled effectively and promptly.

What we offer

Competitive compensation
Medical, vision, dental, and life and disability insurance
Access to free online training
Eligibility to enroll in company 401(k) plan.

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...

Location

United States , Remote

Salary:

100700.00 - 155100.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
Bachelor’s degree preferred
Minimum of 7 years of experience
Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
Ability to effectively manage multiple client relationships and customer
Ability to manage and support external meetings, presentations, and client interactions
Ability to lead and work in a matrix environment
Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists

Job Responsibility

Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
Track progress and evaluate results of assigned activities
Recommends changes in procedures
Lead or direct more complex projects or certain aspects of projects
Operates with reasonable latitude for un-reviewed action or decision
Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
Review patient insurance benefit options with appropriate authorizations
Validate prior authorization requirements
Understanding of Specialty Pharmacy processes

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Fulltime

Dermatology Pharmacist

DMC are looking for an experienced Pharmacists with strong communication skills....

Location

United Kingdom , London

Salary:

Not provided

DMC Healthcare

Expiration Date

March 31, 2026

Requirements

Masters Degree in pharmacy or equivalent, acceptable for registration by the General Pharmaceutical Council
GPhC Registered and have at least two years hospital experience
To be a qualified Clinical Pharmacist
Completion of CPPE Education Pathway
GPhC Independent Prescriber qualification
Current and continued registration with the General Pharmaceutical Council as practicing member

Job Responsibility

Provide clinical leadership for the safe, effective and cost-efficient management of biologic and high-cost medicines
Clinical leadership on meds optimisation
Working with the Dermatology Operations Team to ensure systems and processes are in place
Regularly connecting and working with pharmacy lead counterparts at Trusts and the ICB
Providing pharmaceutical knowledge and support during mobilisations and demobilisation of contracts and services
Regularly monitoring prescribing activities and working with the Finance team
Risk stratification
Supporting service with prescription and medication queries
Medicine Management (producing report for medicine usage, Medicine Governance)
Reviewing Formulary

Parttime

!

New

Tax Manager

As a member of Hershey Tax, the successful candidate will have the opportunity t...

Location

Canada , Mississauga

Salary:

Not provided

The Hershey Company

Expiration Date

Until further notice

Requirements

Bachelor's degree in finance or accounting
CPA or JD preferred
5+ years of Canadian corporate tax or public accounting experience
Organized with a problem-solving mindset
Ability to utilize global ERP and tax systems (e.g., S/4HANA, OneSource)
Excellent oral/written communication and teamwork skills
Proficient in MS office and advanced Excel
Strong professional ethics and integrity

Job Responsibility

Lead Canadian federal and provincial income tax compliance, providing management of externally prepared annual income tax returns and supporting documentation
Prepare and review book‑to‑tax difference workpapers, ensuring accuracy, completeness, and audit readiness
Oversee monthly estimated income tax instalments and required February payments
Prepare and post true‑up and tax return journal entries
Analyze and reconcile income tax accrual and payable accounts
Lead Canadian income tax audits, serving as the primary point of contact with tax authorities and external auditors
Own Canadian indirect tax compliance, including preparation and filing of federal and provincial transaction tax returns and related payments
Lead GST/HST/QST tax audits
Prepare and review monthly transaction tax reconciliations
Maintain transaction tax configuration in ERP system

New

Manager Nursing Telemetry

Manages the operations and services of the Cancer Center. Facilitates multi-disc...

Location

United States , Bakersfield

Salary:

54.19 - 88.54 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Registered nurse license in the state of CA
Basic Life Support from the American Heart Association
Bachelor's degree or a combination of education and/or additional job related experience in lieu of the degree
Minimum of three (3) years of nursing experience
Minimum of one (1) year of leadership experience

Job Responsibility

Manages the operations and services of the Cancer Center
Facilitates multi-disciplinary programs to develop standard of care in clinical pathways
Assures departmental competency and compliance to all regulatory, accreditation and hospital standards of care
Prepares and justifies annual budgeting, maintaining effective staffing plans, determining productive and non-productive expenditures, and determining non-labor expense requirements
Coordinates capital equipment budget in collaboration with medical staff
Explores and initiates revenue enhancement activities
Manages department budget within fiscal year approved targets
Participates in the planning, development and implementation of organizational operational and strategic goals
Develops, implements and monitors department safety management programs
Develops and implements business and marketing plans to aid in the development and advancement of service line

What we offer

health/dental/vision
FSA
matching retirement plans
paid time off
tuition assistance
adoption assistance

Fulltime

Pharmacy Benefit Manager Operations Specialist

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 24, 2026

Expiration:
March 30, 2026

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Pharmacy Benefit Manager Operations Specialist

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Location:United States

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Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

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Expiration:March 30, 2026

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Location:
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Category:
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Contract Type:
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Job Posted:
March 24, 2026

Expiration:
March 30, 2026