Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order

Prescription Benefit Management Services PBM Services
Pharmacy Benefit Management Consulting
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Please Scroll Down to research the leaders in the PBM industry. If your company provides Prescription Benefit management related services, please contact us to have your company added to the pharmacy technology showcase.

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Automation / Robotics
Bar Coding Systems & Supplies
Bedside Medication Verification / EMAR
CE / CME Solutions & Providers
Claim Processing Services (3rd party)
Cleanroom Supplies
Compounding, Supplies & CE
Decentralized Med Distribution Cabinets

Design, Fixtures & Engineering
Distributors & Wholesalers
Franchises / Pharmacy Acquisitions
Gifts for Pharmacists
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Insurance (Malpractice, Facility, etc)
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IVR / Voice Technology
Long Term Care
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MTM (Medication Therapy Managment)
Medication Cart Companies
Mobile Computer Carts
Nuclear Pharmacy

PBM's
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POS Systems & Hardware
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Quality Control / Contamination Testing

Reference Materials, Books
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Tablet & Capsule Counters

Telepharmacy (Remote Order Entry)
Thermal Printers
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Unit Dose Packaging Systems / Supplies
USP <797> Compliance
Website, Database & IT Development

.Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order

 

Rite Aid Health Solutions

 
Pharmacy Category:
Pharmacy Benefit Management Services  •  PBM Services
 
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Voted #1 pharmacy benefits manager in customer satisfaction in the 2006 WilsonRx® Pharmacy Benefit Satisfaction Survey*, Rite Aid Health Solutions brings a one-of-a-kind perspective to the table.

Backed by 44 years of pharmacy experience, we offer pharmacy benefits packages complete with quick-response customer service and support, along with professional clinical pharmacy consultation and management. All costs, fees and revenues are transparent.

*Source: WilsonRx Pharmacy Survey, ©2006 Wilson Health Information LLC. For information visit www.wilsonrx.com

 

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SXC Health Solutions

  Pharmacy Category:
Pharmacy Benefit Management Services  •  PBM Services
Pharmacy Information Processing Applications
    SXC Logo
SXC payer pic
PBM Services: Your Market, Your brand! In a few simple words, it’s about controlling your own prescription drug benefit program. SXC’s model supports your objectives with a full range of tailored services to enable you to effectively take greater control of strategic components of your pharmacy program along with full disclosure and transparent pricing. As a respected leader in healthcare processing services and pharmacy benefit management solutions since 1981, SXC proudly serves the needs of our clients who represent more than 100 million covered lives and more than one billion claims processed annually.

-- Pharmacy benefit services on an ą la carte foundation with full price transparency --

Launched in 2003, SXC’s suite of InformedRx™ provides pharmacy benefit services for PBMs, MCOs, Blue’s organizations and government agencies on a per transaction basis. These comprehensive services enable organizations to in-source their prescription drug programs on an ą la carte basis with transparent pricing, and includes the following flexible solutions:

  • Point-of-Sale Claim Adjudication
  • Retail Pharmacy Network Management
  • InformedRx Mail Service
  • Specialty Pharmacy
  • Call Center Support
  • Clinical Services and Consulting
  • Formulary Design and Management
  • Medicare Part D Administration
  • Manufacturer Rebate Contracting and Administration
  • MAC Program Development and Management
  • Enrollment and Eligibility
  • Benefit Plan Design and Management
  • Reporting and Information Analysis Solutions
  • Web Services (consumer and client)

SXC’s suite of proven pharmacy information processing applications include:

  • RxCLAIM® pharmacy benefit administration and claims processing
  • RxTRACK® information analysis and decision support
  • RxMAX® performanced-based contract management (rebate management)
  • RxPORTAL™ web interface for RxCLAIM®
  • RxSERVER® prescription claim transaction distribution utility

 

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Pram Consulting

  Pharmacy Category:
Pharmacy Risk Management Consulting, Pharmacy Underwriting, Pharmaceutical Insurance, Pharmacy Benefit Consultants
 
PRAM was originally founded in 1989 as an Underwriter and a Registered Administrator with corporate headquarters located in the City of Brea in Orange, California and today has offices in Chicago and throughout the US. PRAM provides Pharmacy Consulting, Underwriting and Employee Benefit services to local, regional and national accounts.
Pharmacy Consulting Services
  • Pharmacy benefit design support, backed by one of the most sophisticated predictive modeling systems available that ensures clients will know what to expect in terms of trend and enable them to budget accordingly.
  • Operations and technical support experienced in managing and administering online pharmacy plans.
  • Full Risk and Profit sharing programs for clients seeking fully insured options
  • Specialty Pharmacy and Bio Tech programs
  • PBM comparison studies to provide clients with information on which PBM really has the lowest net cost.
  • PBM Audits

Underwriting Services
The following lists the types of fully insured pharmacy carve-out plans that PRAM underwrites currently:

  • Employer Groups
  • Seniors - Retirees
  • Generic Only Products for Limited Benefit Programs
  • Insured Programs sold with Medicare Supplement Programs
  • Association Programs
  • State and Local Government Programs
  • Pure Fronting arrangements

We believe our experience in all aspects of Risk Management Consulting, including the understanding of Pharmacy Risk with the support of Staff Pharmacists will add value in providing strategic planning in a growing complex industry. Our goals are to help our clients understand and manage issues relating to medical and pharmacy claim cost while providing leading edge technology to analyze options that will have a positive impact on rising trends while balancing the needs of appropriate therapy.

PRAM's Underwriting Staff and Pharmacy team brings years of experience in working with many of the nations leading insurance companies, national consultants, pharmacy benefit managers, and employer groups. This experience is passed on to our clients to facilitate the decision making process and provide solutions to complex issues.

Pharmacy Risk Management Consulting, Pharmacy Underwriting, Pharmaceutical Insurance, Pharmacy Benefit Consultants Pharmacy Risk Management Consulting, Pharmacy Underwriting, Pharmaceutical Insurance, Pharmacy Benefit Consultants Pharmacy Risk Management Consulting, Pharmacy Underwriting, Pharmaceutical Insurance, Pharmacy Benefit Consultants 

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CAREMARK

  Pharmacy Category:
Prescription Benefit Management Services, PBM Services & Companies
  Caremark - It all starts with care
Caremark Inc. is one of the largest pharmaceutical services companies in the United States and one of the nation's leading prescription benefits managers (PBM. More than 20 million plan participants each year receive over 90 million prescriptions through Caremark, and more than 1,200 plan sponsors-corporations, insurance companies, managed care organizations, government entities, and unions-rely on Caremark to design and fulfill their prescription drug benefit plans.

Caremark is proud to serve the needs of its participants through:

  • Prescription benefit services, including local retail pharmacy and home delivery (mail) options
  • Specialty pharmacy services, providing pharmaceuticals and other therapeutic services for participants with chronic or genetic disorders
  • CarePatterns® disease management programs which provide comprehensive participant care for specific high-cost, complex conditions

Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order

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ProAct Pharmacy Services, Inc.

 
Pharmacy Category:
Pharmacy Benefit Management Services  •  PBM Services
Pharmacy Information Processing Applications
 
WellPoint Rx

ProAct

 

ProAct

ProAct, Inc. is a full service pharmacy benefits management company based in New York State that has a primary focus on member service and education.  ProAct’s target market is employer groups with 100 members or more.  Each employer group using ProAct has a custom built prescription plan which has been specifically tailored to meet the group’s particular quality of care, financial and contractual goals.

ProAct provides its clients with a complete customized pharmacy benefits management package with superior service levels at competitive pricing. Our clients receive quarterly reviews of all utilization data; available through our on-line reporting system or provided on-site by their ProAct representative.

ProAct offers a wide array of member education and wellness programs; our clinical pharmacists make presentations to employee groups on a regular basis and are certified to give seminars on smoking cessation, asthma and diabetes wellness programs.  ProAct can customize wellness programs to suit the specific needs of your employees by partnering with local health care agencies.

American businesses are spending billions of dollars each year on prescription drugs.  As the nation continues to age and new products are introduced to the market, companies of all sizes are looking for solutions.  ProAct can provide your company with an innovative, financially sound and flexible pharmacy benefit solution without compromising quality of care. 

ProAct is based in Liverpool, NY and is a wholly owned subsidiary of Kinney Drugs, Inc., a regional chain pharmacy headquartered in Gouverneur, NY.


If you would like to learn more about ProAct Pharmacy Services , please use the links provided below.

 
Soft Writers

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RXinsider.com

  Pharmacy Category:
PBM Pharmacist Jobs, NPharmacy Jobs in Managed Care
RXinsider

The #1 Pharmacy Job Resource

 

RXinsider.com is not only the leader in PBM / Managed Care Jobs Postings, but also pharmacist employment opportunities in every other practice setting as well (Nuclear, Long Term Care, Clinical, Retail, Infusion, Staffing, Recruiters, PBM's, Management, Independents, Hospital, Non-Traditional & much more). RXinsider educates pharmacy professionals not only on specific job opportunities, but also on the R.Ph. employers as well as practice settings.

If you are looking for a job choose a state below.

Advertise with RXinsider.com
RXinsider is also the place to advertise your open pharmacist job opportunities. Our programs range from a single "help-wanted" posting to annual programs with unlimited job postings. If your pharmacy is ever short staffed (Pharmacists or Pharmacy Technicians), please follow the link to learn more about our marketing services: Click Here

Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order Prescription Benefit Management PBM Services Pharmacy Benefits Management Consulting jobs mail order

 

 

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Medco

  Pharmacy Category:
Prescription Benefit Management Services,
PBM Services & Companies
  Pharmacist jobs and pharmacy employment with Medcohealth
Medco is a leading pharmacy benefit manager (PBM) with the nation's largest mail order pharmacy operations. Medco assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Ensuring that millions of Americans have access to affordable, high quality prescription healthcare is more than our business - it's our calling. Every day, our employees dedicate themselves to bringing:
  • Better Care

  • Better Value

  • Better Service

And we are a company that never stops trying to do it better.
At Medco, good has never been good enough. We've always been at the forefront of the industry - in knowledge, innovation, technology, and in pioneering new products and services. You can count on us to continue to be a catalyst for positive change because, at Medco, we never stop trying to do it better.

 

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Advanced Pharmacy Concepts

  Pharmacy Category:
Prescription Benefit Management Consulting Services, PBM Consulting Services & Companies, Managed Care Consultants
 

About Advanced Pharmacy Concepts

Advanced Pharmacy Concepts is a pharmacy consulting firm that was established in 1997 by Dr. Kimberly McDonough. A Pharm.D. by training, Kim has over 25 years of experience in the pharmacy industry. With a team of consultants having experience in hospital, managed care and pharmacy benefit management (PBM) settings, Advanced Pharmacy Concepts is focused on helping pharmacy payers get the most out of their pharmacy programs. Whether you are a managed care organization, hospital, employer, Taft-Hartley group or public-sector entity, Advanced Pharmacy Concepts can help you maximize the value of each pharmacy dollar.

Our services are specialized and focused on the direct needs our customers. We assess each client's needs as we initiate services and we serve as an advocate for our client. Because we work across the healthcare industry, we are in the unique position of knowing pharmacy-specific issues that our clients would otherwise overlook.

Take a brief look at a sample of our services below:

Physician Practice Management programs

Advanced Pharmacy Concepts offers programs to assist our physicians groups in their successful management of pharmacy risk arrangements. Our clinical programs focus on promoting the quality of care that patients receive while promoting profitability of the practice group. Over half of our staff are pharmacists, all of whom have, or will soon receive, an advanced degree (Pharm.D. or Masters). We take high quality patient care very seriously!

Managed Care Consulting Services

The staff of Advanced Pharmacy Concepts has a tremendous wealth of experience and expertise in the managed care field. We provide a wide array of services including drug information reviews, formulary preparation, benefit design, and P & T support. We also provide services to assist health plans in assessing the performance of their PBM, assuring that the pharmacy benefit is accurately administered and costs to the health plan are minimized. We can identify the hidden costs within your pharmacy program!

Quality Assurance Programs
Quality will be the focus on healthcare during the next decade and Advanced Pharmacy Concepts has programs to both measure and improve the quality of health care services. Our services include credentialing programs, HEDIS or other customized reporting, and satisfaction surveys. Our staff is Juran Institute trained and is knowledgeable in health care quality measures that are used by regulatory and accrediting agencies.

Pharmacy Network Services

Advanced Pharmacy Concepts provides services that allow pharmacies to implement financially successful pharmaceutical care programs. Whether your need is assistance in billing for non-dispensing services, credentialing of the programs that you currently offer, or expertise to establish a new program, Advanced Pharmacy Concepts can provide you with the solutions.

Medical Information Services

Whether you need simple answers regarding a new medication or comprehensive analysis of treatment options, Advanced Pharmacy Concepts can provide you with the information that you desire. We provide drug reviews, generate P & T monographs, research treatment guidelines, and generate comprehensive literature analysis for use in future research.

 

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WellPoint NextRx

 
Pharmacy Category:
Pharmacy Benefit Management Services  •  PBM Services
 
WellPoint Rx

WellPoint Pharmacy Management

Making benefits smarter.
WellPoint NextRx is a progressive pharmacy benefit manager (PBM) helping health plans, employer groups and third party administrators target the reduction of total health care costs and improve health outcomes. Pharmacy benefits present unique challenges: breakthrough medications, increased utilization, an aging population. In the face of so many dynamics, WellPoint NextRx has smart solutions.

Total package.
NextRx provides all of the standard PBM services that clients expect. This includes claims processing, clinical and disease management programs, retail network, mail and specialty pharmacy, customer service, and rebate management. With roots that date back to the 1980’s, NextRx has years of experience in providing these fundamental services.

NextRx will help lead the industry into a new direction. How? By providing the products clients need to make their clients and members happy, healthy and well informed. And by helping members get the medicines, treatments and information they deserve.

Those looking to get more from their pharmacy benefits program – in dollars and in health – turn to WellPoint NextRx. Effective pharmacy programs. Lower net costs. Results all around.

1-800-451-0433
www.wellpointrx.com
www.anthemprescription.com

WellPoint NextRx is a Service Mark of WellPoint, Inc. Services are provided by a WellPoint PBM (either Professional Claim Services Inc., doing business as WellPoint Pharmacy Management, or Anthem Prescription Management, LLC, as appropriate). WellPoint NextRx is a division of WellPoint, Inc.

 
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Acute Care Hospitals
Automation / Robotics
Bar Coding
Bedside Medication Verification / EMAR
CE / CME
Claim Processing Services (3rd Party)
   
Claim Reconciliation Tools
Cleanroom Supplies
Compounding (Suppliers & CE)
Design, Fixtures & Engineering
Distributors & Wholesalers
Drug Dispensing Cabinets (Remote)
Franchising / Acquisitions / Sales
Gifts for Pharmacists
GPO's (Buying Groups)
Hoods, Cleanrooms & Gloveboxes
    Surgical Suites
Hospital Pharmacist Jobs
Insurance (Malpractice / Liability)
IV / Infusion
      Infusion Services / Outsourcing
      Infusion Automation
IVR / Voice Technology
Long Term Care
Management Outsourcing
Marketing / Advertising Tools
Medical Science Liaisons
Medication Carts
Mobile Computer Carts
MTM (Medication Therapy Management Nuclear Pharmacy
PBM's
PDA's & Hand-Helds
Pneumatic Tubes (Air Tubes)
POS Systems & Hardware
Professional ePortfolios

Quality / Contamination Control

Reference Materials & Books
     Salary Information
Retail Pharmacy Jobs
Returns Services
Scales & Balances
Security Systems
Software (Clinical & MTM)
Software (CPOE)