Washington, District of Columbia, United States · Remote OK
$155k–$175k/yr
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focus…
Skills: Pharmaceutical Contracting, Utilization Management, Client Relations, PBM Operations, Clinical Policy Management
Washington, District of Columbia, United States · On-site
$80k–$90k/yr
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues …
Skills: Medical Device Sales, Relationship Building, Pipeline Management, Sales Forecasting, Stakeholder Management
Los Angeles, California, United States · Hybrid
$100k–$160k/yr
Ankura is a team of excellence founded on innovation and growth. Practice Overview A recognized leader in healthcare litigation support, Ankura’s Healthcare Disputes team combines deep clinical, technical, and operationa…
Skills: Data Analytics, SQL, Databricks, PySpark, Python
Washington, District of Columbia, United States · On-site
$80k–$100k/yr
Overview Up to a $20,000 bonus and indefinite student loan help NovaCare Washington, DC Full Time Physical Therapist - Outpatient Orthopedics $80,000-$100,000/yr. NovaCare's outpatient orthopedic center in Washington, D.…
Skills: Patient Evaluation, Patient Treatment, Clinical Documentation, Orthopedic Rehabilitation, Vestibular Therapy
Washington, District of Columbia, United States · On-site
$58k–$97k/yr
Kids Are Our Everything. Department 10113 Patient Access UMC Pay Range $57,969.60 - $96,616.00 Responsible for coordination of business operations of the Patient Access Department. Supervise, train, mentor, and develop s…
Skills: Staff Supervision, Patient Registration, Financial Clearance, Insurance Verification, Medical Terminology
Washington, District of Columbia, United States · Remote OK
$90k–$110k/yr
About Avalere Health United by one profound purpose: to reach EVERY PATIENT POSSIBLE. At Avalere Health, we ensure every patient is identified, treated, supported, and cared for. Equally. Our Advisory, Medical, and Marke…
Skills: Healthcare Policy Analysis, Strategic Advisory, Project Management, Client Relationship Management, Quantitative Research
Wilmington, Delaware, United States · Remote OK
$139k–$231k/yr
The territory for this region includes Miami, Orlando, Jacksonville FL, Raleigh NC, Charlotte, Columbia, SC, Wilmington DE, Richmond VA, Washington DC, Alexandria VA and Atlanta GA The Thought Leader Liaison (TLL) builds…
Skills: Cross-Functional Work, Data to Insights, Digital Fluency, External Stakeholder Management, Scientific Literacy
Washington, District of Columbia, United States · Hybrid
Contract Duration: 5 months Working arrangement: Remote, with travels to Dodoma and Dar es Salaam. UNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill t…
Skills: Health Information Systems Architecture, Interoperability, DHIS2 Configuration, Predictive Analytics, Disease Modelling
Washington, District of Columbia, United States · Remote OK
$94k–$113k/yr
Overview LMI is seeking a highly organized dand adaptable Public Health Project Specialist to support complex federal public healht, preparedness, and medical operations programs. The ideal candidate combines public heal…
Skills: Public Health Planning, Emergency Preparedness, Operational Planning, Professional Writing, Stakeholder Communication
Washington, District of Columbia, United States · Remote OK
$61k–$123k/yr
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnost…
Skills: Prospecting, Account Development, Customer Engagement, Pipeline Management, Salesforce
Washington, District of Columbia, United States · On-site
$17/hr–$20/hr
Position Overview About Us: At Athletico, we believe in the power of support – because a little help can lead to extraordinary achievements. Physical therapy isn’t just about recovery; it’s about transformation. Our team…
Skills: Patient Care, Clinical Assistance, Administrative Support, Communication Skills, Time Management
Washington, District of Columbia, United States · On-site
$20/hr–$40/hr
Kids Are Our Everything. Department 10055 Medical Specialties Clinic Pay Range $20.75 - $40.99 About the Role: The Patient Care Technician in collaboration with the multidisciplinary health care delivery team, under the …
Skills: Basic nursing care, Vital signs monitoring, Aseptic technique, Basic calculations, Interpersonal skills
Washington, District of Columbia, United States · On-site
$20/hr–$29/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Supervision, Customer Service, Deductive Reasoning, Analytical Skills, Computer Skills
Washington, District of Columbia, United States · On-site
$40k–$50k/yr
The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. Hiring staff “for fit” makes significant contributions to Howard Univ…
Skills: CRISPR/Cas9, Next-generation sequencing, Flow cytometry, Molecular biology assays, PCR
Washington, District of Columbia, United States · On-site
$19/hr–$32/hr
Kids Are Our Everything. Department 10196 Emerg Med Trauma Center Pay Range $19.65 - $32.75 Schedule: Part time - 24 hours per week Who We Are: The Emergency Medicine and Trauma Services (EMTC) is a tertiary care; Level …
Skills: Therapeutic Milleu, Patient Group Leadership, Treatment Plan Implementation, Seclusion Protocols, Patient Safety Assessment
Washington, District of Columbia, United States · On-site
$19/hr–$28/hr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate…
Skills: Supervision, Customer Service, Deductive Reasoning, Analytical Skills, Computer Skills
Durham, California, United States · Hybrid
$100k–$112k/yr
Job Description Our FSP team is currently seeking a CRA 2 in California with 2 years of monitoring! May consider other West Coast states. 8-10 days on site per month being a mix of onsite and remote. WHAT YOU WILL DO You…
Skills: Clinical Monitoring, Site Management, Case Report Forms (CRF) Review, Serious Adverse Event (SAE) Reporting, Patient Protection
Los Angeles, California, United States · Hybrid
$100k–$160k/yr
Ankura is a team of excellence founded on innovation and growth. Practice Overview A recognized leader in healthcare litigation support, Ankura’s Healthcare Disputes team combines deep clinical, technical, and operationa…
Skills: Data Analytics, Healthcare Litigation, SQL, Project Management, Relational Databases
Washington, District of Columbia, United States · Remote OK
$168k–$222k/yr
Job Description Summary The Legal Counsel serves as a trusted legal advisor to the company's business and operational teams, providing advice on commercial contracting, healthcare regulatory compliance, privacy matters, …
Skills: Commercial Contracting, Healthcare Regulatory Compliance, Privacy Law, Legal Risk Management, Pharmaceutical Rebate Contracting
Washington, District of Columbia, United States · Remote OK
$172k–$233k/yr
Career CategoryMedical AffairsJob Description Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with se…
Skills: Scientific Liaison, KOL Relationship Management, Medical Affairs, Clinical Research Collaboration, Public Speaking
Washington, District of Columbia, United States • Remote OK
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The Director manages clinical policies to ensure compliance with manufacturer contracts and implements trade strategies for medication contracting. They serve as the primary trade point of contact for participants and collaborate with internal teams to drive rebate programs.
Candidates should have a pharmacy degree (PharmD preferred) and 5-7 years of experience in PBM, pharmaceutical contracting, or healthcare. Proficiency in clinical data application and strong business acumen are essential.
Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Partner with the following stakeholders:
Analytics Team – Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
Client Relations – Serve as Trade’s primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade’s leadership
Clinical Team – Liaise with Clinical team to review clinical data and policy requirements as needed
Invoicing Team – Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
Product Team – Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs
Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans
Experience with contract language and risk mitigation concepts
Travel Requirements: Up to 10% of the time.
Work is generally performed in a remote setting.
#LI-Remote
$155,000.00 - $175,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
For the Health of America
The Blue Cross and Blue Shield Association is a national federation of independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Index.
Offices: 225 North Michigan Avenue, Chicago, IL 60601, US · 1310 G Street, N.W., Washington, DC 20005, US
There are currently 1,629 open healthcare positions in Washington, DC listed on Clera. New openings are added daily as companies post roles.
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