NewTravel RN Care Manager - $1,823 per week TNAA TotalMed RNTravel RN Care Manager - $1,823 per weekChapel Hill, NCYou will be responsible for comprehensive coordination of short and long-term care for patients, with the goal of decreasing hospital stay lengths and reducing readmission rates to generate cost-effective outcomes. Because of the cooperative nature of this role, RN Case Managers should possess good oral and written communication abilities to communicate effectively with patients, families and co-workers.
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Elevance Health IncPayor Contract Manager (Infusion) - BioPlus Specialty PharmacyDurham, NCMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
Account Manager, Pharmacy Partnerships - WV, SWVA, Eastern KY, and Greater Raleigh, NC UnitedHealth Group IncAccount Manager, Pharmacy Partnerships - WV, SWVA, Eastern KY, and Greater Raleigh, NCRaleigh, NC$29–$52 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Success in this role will be measured through relationship strength, account retention, outreach consistency, growth, and operational follow-through across assigned accounts, including: Account Retention and Growth: Retention rate of assigned accounts and continuity of service support to enact growth of this account.
Pharmacy Account Manager - CarelonRx Elevance Health IncPharmacy Account Manager - CarelonRxDurham, NCProvides ongoing support to regional decision makers and support pharmacy benefit management (PBM) field sales team during request for proposal (RFP) processes. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewPharmacy Operations Manager Walgreen CoPharmacy Operations ManagerGarner, NC$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
NewPharmacy Account Manager - CarelonRx Elevance HealthPharmacy Account Manager - CarelonRxDurham, North CarolinaProvides ongoing support to regional decision makers and support pharmacy benefit management (PBM) field sales team during request for proposal (RFP) processes. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewPharmacy Account Manager - Carelonrx Elevance HealthPharmacy Account Manager - CarelonrxDurham, NCProvides ongoing support to regional decision makers and support pharmacy benefit management (PBM) field sales team during request for proposal (RFP) processes. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst CVS Health CorpPharmacy Benefits Management (PBM) Underwriting, Senior AnalystNC$46,988–$122,400 / yearIn this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts. Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts.
Benefits & Wellness Manager (Hybrid) Wake County North CarolinaBenefits & Wellness Manager (Hybrid)Raleigh, NC$125,000–$155,000 / yearWake County's Human Resources Department partners closely with county leadership to deliver innovative, results-driven, and customer-focused HR programs and services. The manager brings clarity to intricate benefits issues, supports employees and leaders with accuracy and care, and contributes to shaping the long‑term vision for Wake County's benefits philosophy.
Pharmacy Manager Costco Wholesale CorporationPharmacy ManagerAPEX, North CarolinaOversees and participates in dispensing prescription medications: measuring, labeling, checking for drug interactions, verifying with physicians, and selecting substitutions when necessary. Responds to employee concerns using problem-solving skills, tact, and discretion in accordance with the Costco Employee Agreement and other applicable regulations.
NewPayor Contract Manager (Infusion) - Bioplus Specialty Pharmacy Elevance HealthPayor Contract Manager (Infusion) - Bioplus Specialty PharmacyDurham, NCMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
(USA) Manager, Pharmacy Clinical Services Walmart Inc(USA) Manager, Pharmacy Clinical ServicesHILLSBOROUGH, NC$112,000–$197,000 / yearWhat you'll do: Provide comprehensive patient care by processing and dispensing prescription orders, administering immunizations, and other programs in compliance with Board of Pharmacy statutes and regulations. Ensure compliance with company and legal policies, procedures, and regulations by analyzing reports, implementing loss prevention and safety controls, and overseeing safety and quality assurance reviews.
(USA) Pharmacy Manager, Store # 01321 Wal-Mart Stores East(USA) Pharmacy Manager, Store # 01321Smithfield, North CarolinaCompletion of an ACPE accredited immunization training program (for example, APhA, Pharmacy School Curriculum, State Pharmacy Association sponsored). Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates.
(USA) Pharmacy Manager, Store # 01321 Walmart Inc(USA) Pharmacy Manager, Store # 01321Smithfield, NC$112,000–$197,000 / yearCompletion of an ACPE accredited immunization training program (for example, APhA, Pharmacy School Curriculum, State Pharmacy Association sponsored). Programs range from high school completion to bachelor''s degrees, including English Language Learning and short-form certificates.
(USA) Pharmacy Manager, Store # 04499 Walmart Inc(USA) Pharmacy Manager, Store # 04499ZEBULON, NC$112,000–$197,000 / yearPaid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Completion of an ACPE accredited immunization training program (for example, APhA, Pharmacy School Curriculum, State Pharmacy Association sponsored).
Sr. Manager, Pricing - Pharmacy Appeals CVS Health CorpSr. Manager, Pricing - Pharmacy AppealsNC$67,900–$182,549 / yearThis role requires a thorough knowledge of claim adjudication, appeals related processes, and being a leader working with other internal business units to develop new solutions to meet the ever-increasing number of complex appeal bill compliance requirements. Leads with strategic leadership and guidance to pharmacy reimbursement appeals teams, ensuring effective strategies and operations are effectively progressed to improve performance.
Pharmacy Network Manager (Aetna) CVS Health CorpPharmacy Network Manager (Aetna)NC$54,300–$159,120 / yearRequired Qualifications: Minimum of 5 years of healthcare network management experience with demonstrated success in managing statewide and multi-state networks, completing regulatory state filings ensuring network adequacy and compliance, and overseeing pharmacy operations. Minimum of 2 years of experience demonstrating strong communication and relationship management skills, with a proven ability to build and maintain stakeholder trust, foster cross-functional collaboration, and contribute to successful project delivery and operational outcomes.
Pharmacy Relationship Manager America's Pharmacy Group, LLCPharmacy Relationship ManagerDurham, NCWhether you are working in a Pharmacy, a seasoned healthcare sales expert, or aspiring to break into the Medical Sales industry, Healthcare Marketing Group, LLC provides an excellent opportunity for you. Provide Savings Cards by engaging with medical offices and educating Office Staff about how their patients can save up to 80% on medications.
Pharmacy Manager Walgreen CoPharmacy ManagerRaleigh, NC$67.05–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
NewPopulation Health Pharmacy Technician II Duke UniversityPopulation Health Pharmacy Technician IIDurham, NCThey will be responsible for assisting the Care Managers and clinical pharmacists with medication-related issues such as medication adherence, medication access, medication histories, and other duties as assigned by the Pharmacy Technician Supervisor or Assistant Director of Population Health Pharmacy Services. Typical physical demands include ability to perform the job while standing, reaching, stretching, stooping, and sitting for prolonged times; manual dexterity sufficient to perform computer, dispensing functions of the job; ability to lift up to 20 lbs., while walking, stooping, bending, and reaching.