Current jobs related to Wellmark Blue Cross and Blue Shield Pharmacy Program - Des Moines, Iowa - Wellmark Blue Cross and Blue Shield
-
Audit Services Internship
4 weeks ago
Des Moines, Iowa, United States Wellmark Blue Cross and Blue Shield Full timeJob DescriptionWellmark Blue Cross and Blue Shield is committed to providing meaningful work experiences that foster professional growth and development. As an Audit Services Intern, you will gain valuable insights into the health insurance industry and contribute to the success of our organization.Key ResponsibilitiesAssist in financial, operational, and...
-
Audit Services Internship Opportunity
2 months ago
Des Moines, Iowa, United States Wellmark Blue Cross and Blue Shield Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented individual to join our Audit Services team as an intern. As a member of our team, you will gain valuable experience in the health insurance industry and contribute to the success of Wellmark Blue Cross and Blue Shield.Key ResponsibilitiesAssist in performing financial, operational, and...
-
Audit Services Internship Opportunity
3 weeks ago
Des Moines, Iowa, United States Wellmark Blue Cross and Blue Shield Full timeJob DescriptionWellmark Blue Cross and Blue Shield is committed to providing meaningful work experiences that foster professional growth and development. As an Audit Services Intern, you will gain valuable insights into the health insurance industry and apply theoretical knowledge in a practical setting.Our Audit Services department plays a crucial role in...
-
Des Moines, Iowa, United States Wellmark Full timeAre you interested in growing your career in the pharmacy space? As a Pharmacy Operations Support Specialist, you will provide support to the pharmacy team by coordinating, researching, and resolving inquiries through multiple channels.You will provide technical and administrative support to various teams, including customer service, sales, and other...
-
Audit Services Internship Opportunity
3 weeks ago
Des Moines, Iowa, United States Wellmark Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented individual to join our Audit Services team as an intern. As a member of our team, you will gain valuable experience in financial audit, compliance, and risk management, and contribute to the success of our organization.Key ResponsibilitiesAssist in performing financial, operational, and...
-
Case Management Nurse I Federal Employee Program
4 weeks ago
Des Moines, Iowa, United States Wellmark Full timeAbout the RoleWe are seeking a skilled Case Management Nurse I to join our team in supporting the Federal Employee Program (FEP) at Wellmark. As a key advisor to our FEP members, you will play a vital role in fostering a caring and trusting relationship with them to support their complex health care needs and concerns.ResponsibilitiesEngage with FEP members...
-
Data Science Consultant
2 weeks ago
Des Moines, Iowa, United States Wellmark Full timeJob SummaryWellmark is seeking a highly skilled Data Science Consultant to join our Operations Analytics team. As a key member of this team, you will collaborate with stakeholders to solve complex business problems using data-driven insights. Your expertise in business problem-solving, data manipulation, and data presentation will be essential in driving...
-
Pharmacy Solutions Team Lead
3 weeks ago
Des Moines, Iowa, United States Wellmark Full timeAbout the RoleWe are seeking a highly skilled and experienced Pharmacy Solutions Team Lead to join our team at Wellmark. As a key member of our Pharmacy Solutions team, you will be responsible for overseeing the development, analysis, implementation, and performance analysis of pharmacy solutions. Your primary focus will be on driving go-to-market strategy...
-
Pharmacy Solutions Leader
3 weeks ago
Des Moines, Iowa, United States Wellmark, Inc. Full timeJob SummaryWe are seeking a highly skilled and experienced Pharmacy Solutions Leader to join our team at Wellmark, Inc. This is a unique opportunity to lead the development, analysis, and implementation of pharmacy solutions that drive business growth and improve member outcomes.Key ResponsibilitiesOversee the creation, maintenance, and execution of a...
-
Pharmacy Performance Manager
2 weeks ago
Des Moines, Iowa, United States Wellmark Full timeAbout the Role:We are seeking a highly skilled Pharmacy Performance Manager to join our team at Wellmark. As a Pharmacy Performance Manager, you will be responsible for managing the effectiveness of business processes, performance, and key partnerships pertaining to Wellmark's pharmacy line of business.You will monitor and ensure delivery of service level...
-
Pharmacy Performance Manager
3 weeks ago
Des Moines, Iowa, United States Wellmark, Inc. Full timeJob SummaryWe are seeking a highly skilled Pharmacy Performance Manager to join our team at Wellmark, Inc. This role will be responsible for managing the effectiveness of business processes, performance, and key partnerships pertaining to our pharmacy line of business.Key ResponsibilitiesMonitor and ensure delivery of service level agreements (SLAs) and...
-
Pharmacy Internship Opportunity
2 weeks ago
Des Moines, Iowa, United States Wellmark Full timePharmacy Internship OpportunityWellmark is seeking a highly motivated and detail-oriented pharmacy intern to join our team. As a pharmacy intern, you will have the opportunity to gain valuable experience in the health insurance industry and develop your skills in pharmacy benefits management.Key Responsibilities:Assist in the design and delivery of pharmacy...
-
Des Moines, Iowa, United States Wellmark Full timeAbout the Role:We are seeking a highly organized and efficient Pharmacy Operations Support Specialist to join our team at Wellmark. As a Pharmacy Operations Support Specialist, you will provide support to the Pharmacy team by coordinating, researching, and resolving inquiries through multiple channels.You will provide technical and administrative support to...
-
Des Moines, Iowa, United States Wellmark, Inc. Full timeJob SummaryWellmark, Inc. is seeking a seasoned leader to serve as Director of Provider Network Development and Contracting. This key role will provide strategic direction and leadership to network development and contracting teams, driving the design, implementation, and execution of complex provider network strategies.Key ResponsibilitiesProvide strategic...
-
Des Moines, Iowa, United States Wellmark Full timeAbout the Role:We are seeking a highly organized and efficient Pharmacy Operations Support Specialist to join our team at Wellmark. As a Pharmacy Operations Support Specialist, you will provide support to the Pharmacy team by coordinating, researching, and resolving inquiries through multiple channels.You will provide technical and administrative support to...
-
Pharmacy Performance Manager
3 weeks ago
Des Moines, Iowa, United States Wellmark, Inc. Full timeJob SummaryWe are seeking a highly skilled Pharmacy Performance Manager to join our team at Wellmark, Inc. This role will be responsible for managing the effectiveness of business processes, performance, and key partnerships pertaining to our pharmacy line of business.Key ResponsibilitiesMonitor and ensure delivery of service level agreements (SLAs),...
-
Compliance Manager Regulatory Affairs Specialist
2 weeks ago
Des Moines, Iowa, United States Wellmark Full timeJob DescriptionWellmark is seeking a highly skilled Compliance Manager – Regulatory Affairs to join our team. As a key member of our Regulatory Compliance Management Team, you will play a critical role in ensuring the organization's compliance with regulatory requirements.Key Responsibilities:Develop and build collaborative partnerships with internal teams...
-
Healthcare Network Performance Strategist
1 week ago
Des Moines, Iowa, United States Wellmark Full timeAt Wellmark, we are dedicated to putting our members first. As a Healthcare Network Performance Strategist, you will play a critical role in driving our value-based payment model forward. With a strong focus on quality, efficiency, and total cost of care, you will develop and maintain relationships with key healthcare organizations, physicians, and...
-
Audit Services Internship Opportunity
2 weeks ago
Des Moines, Iowa, United States Wellmark Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented individual to join our Audit Services team as an intern. As a member of this team, you will gain valuable experience in financial audit and compliance, working closely with our leadership to identify and mitigate risks.Key ResponsibilitiesPerform financial, operational, and compliance audit...
-
Enterprise Cloud Solutions Architect
3 weeks ago
Des Moines, Iowa, United States Wellmark, Inc. Full timeJob Title: Enterprise Cloud Engineer IVWellmark, Inc. is seeking an experienced Enterprise Cloud Engineer IV to join our Engineering Practices team. As a key member of our cloud engineering team, you will play a crucial role in transforming and modernizing how Wellmark engineers develop software.Key Responsibilities:Design and optimize cloud-native...
Wellmark Blue Cross and Blue Shield Pharmacy Program
2 months ago
About the Role
The Wellmark Blue Cross and Blue Shield Pharmacy Team is responsible for designing and delivering pharmacy benefits and drug cost containment solutions for our groups and members. This includes development and maintenance of custom formularies and utilization management, rebate strategies, PBM management and oversight, education and consultation with clients and consultants, education and communications for members and providers, support of client RFPs and audits, and benefit oversight, testing, and remediation.
Key Responsibilities
- Exposure to managed care pharmacy and opportunity to learn and contribute to the innovative solutions required to responsibly manage pharmacy decisions.
- Research, prepare and present on clinical topics or new drug reviews to Wellmark clinicians or in support of the Wellmark Pharmacy and Therapeutics Committee.
- Track FDA decisions and support implementation of changes to formulary.
- Support clinical team's review of appeals or responding to inquiries.
- Gain understanding of economic impacts of new drugs and analysis required to manage cost of care.
- Learn the application of pharmacy benefits towards healthcare through shadowing various teams within Wellmark.
- Partner with peer interns in a cross-functional Wellmark internship program.
Requirements
- Current PharmD student
- Registered Pharmacist Intern
- Strong verbal and written communication skills to effectively communicate recommendations to all levels of the organization
- Strong knowledge of applicable rules, regulations, and guidelines, and maintain awareness of implications to pharmacy.
- Strong organization and prioritization skills. Ability to manage multiple projects simultaneously and consistently meet deadlines.
- Self-starter who can work well independently and as a member of a cross-functional team.
- Strong interpersonal skills with the ability to build relationships of collaboration and trust
- Effective facilitation, negotiation, and presentation skills
- Proficient in Microsoft Office products
Preferred Qualifications
- Prior internship or office experience
