Jobs in the United States

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PI
Complex Claims Specialist-Professional & General Liability
PHARMACISTS INSURANCE COMPANY
Remote, United States
- $96,000 to $120,000 USD / year
This position is responsible for handling complex litigated and non-litigated liability cases with the highest level of exposure. This is a multi-line role and requires experience in…
Added 1 min ago
CO
Deputy Police Chief
City of Asheville
Asheville, NC
- $122,581.28 to $183,871.91 USD / year
Must possess and maintain, or be eligible to possess and maintain, a valid North Carolina driver’s license · Specific License or Certification Required: Must possess and maintain a valid North Carolina driver’s license
Added 1 min ago
Information Systems Security Officer
Chenega Corporation
Huntsville, AL
Must have active CompTIA Security+ certification in accordance with DoD 8570/8140 requirements · Must have active Secret clearance with ability to obtain TS with SCI eligibility
Added 1 min ago
Information Systems Security Officer
Chenega Corporation
UNAVAILABLE, HI
Must have active CompTIA Security+ certification in accordance with DoD 8570/8140 requirements · Must have active Secret clearance with ability to obtain TS with SCI eligibility
Added 1 min ago
Information Systems Security Officer
Chenega Corporation
UNAVAILABLE, NC
Must have active CompTIA Security+ certification in accordance with DoD 8570/8140 requirements · Must have active Secret clearance with ability to obtain TS with SCI eligibility
Added 1 min ago
Licensed Practical Nurse
Arkansas Hospice, Inc.
Little Rock, AR
Paid time off (PTO) program to total up to 208 hours a year
Added 2 mins ago
Senior Analyst, Customer Strategy & Insights
Retail Services & Systems, Inc
United States
…identify the customer questions that matter most, and translate complex analysis into clear insights and recommendations. This role will combine analytical curiosity, business acumen, and…
Added 2 mins ago
Regional Data Center Construction Executive
World Wide Professional Solutions
Remote, United States
Experience representing an Owner, developer, program manager, EPCM organization, or similarly accountable project delivery organization.
Added 2 mins ago
Director of Semiconductor Base Build, North Phoenix, AZ
World Wide Professional Solutions
North Phoenix, AZ
15+ years of progressive construction, project, or program delivery experience, including executive or senior leadership accountability on major, technically complex capital projects.
Added 2 mins ago
Base Build PMO Executive, North Phoenix, AZ - Semiconductor
World Wide Professional Solutions
North Phoenix, AZ
15+ years of progressive construction, project, or program delivery experience, including executive or senior leadership accountability on major, technically complex capital projects.
Added 3 mins ago
Sr Product Manager** EST Coast Preferred
Reed Technology and Information Services LLC Company
Horsham, PA
The Sr. Product Manager will typically own one or more product features and lead project execution. Individuals in this role will own product development plans and represent their…
Added 3 mins ago
Sales Enablement Manager
Boostlingo
United States
The Sales Enablement Manager builds the programs, content, and coaching that help Boostlingo sellers’ ramp faster, sell the full platform with confidence, and win more deals.
Added 3 mins ago
Financial Planning & Analysis Manager, NA
Vantage Data Centers Management Company LLC
Denver, CO
The FP&A Manager – North America will be a key member of the North America FP&A team, responsible for supporting financial planning, forecasting, performance management, and decision…
Added 3 mins ago
Senior Manager, Technical Accounting, NA
Vantage Data Centers Management Company LLC
Denver, CO
Experience with multinational operations, complex legal-entity structures, intercompany arrangements and cross-border transactions
Added 3 mins ago
A
Summer 2027 Internship - Product Analyst (Navigator)
Addepar
NY
- $31 USD / hour
Being a part of the AddeU Internship Program, you will be working on meaningful project(s) that you can feel proud of and present back to the company at the end of the experience. In…
Added 4 mins ago
SC
Executive Assistant
Seminole County/Board of County Commissioners
Sanford, FL
- $24.05 to $31.26 USD / hour
Must have exceptional organizational and follow-through skills
Added 5 mins ago
Senior Electrical Engineer
Actalent
Irvine, CA
DescriptionThe Senior Electrical Engineer will provide hands-on electrical engineering and technical ownership for complex building and site infrastructure projects. Responsibilities…
Added 5 mins ago
CH
Registered Nurse - Same Day Surgery - Hopewell - Full-time - Day
Capital Health System, Inc.
Pennington, NJ
- Full-time
Mobilizes resources in complex cases to maximize patients control and participation over his/her own recovery.
Added 5 mins ago
Field HR Partner
EōS Fitness
Phoenix, AZ
Investigate complex employee relations concerns, including harassment, discrimination, retaliation, misconduct, policy violations, workplace safety, and wage-and-hour issues.
Added 5 mins ago
Field HR Manager
EōS Fitness
Dallas, TX
…our Texas operations and assigned business partners. This HR Manager role will lead workplace investigations from intake through resolution, advise leaders on complex employee matters, and…
Added 5 mins ago
Technical Program Manager
Company 19 - John Hancock Life Insurance Company (U.S.A.)
Boston, MA
We are seeking an experienced Technical Program Manager to lead complex, cross-functional technology initiatives supporting our omni-channel communications and document management platform.
Added 6 mins ago
PH
Case Management Nurse RN
Personify Health
United States
- $35 to $37 USD / hour
Current RN license required based on business need
Added 6 mins ago
SO
Manager, Ambulatory Services (PreOp & PACU)
Sutter Outpatient Services LLC
United States
- $165,339.2 to $264,555.2 USD / year
…guidance and/or direct intervention in resolving challenging or complex…
Added 6 mins ago
Property Management Manager
Sutter Health
United States
Responsible for leading the property management program for owned and leased facilities across the system to support Sutter Health's operational, strategic, and contractual requirements.…
Added 7 mins ago
CH
Skagit MCOT Program Supervisor
Compass Health
Mount Vernon, WA
- $78,249.6 to $110,682.92 USD / year
Collaborate with the Program Manager on program operations and community partnerships.

Manager, Pharmacy Business Analysis

BSC · Long Beach, CA, United States · CA, United States · El Dorado Hills, CA, United States · Lodi, CA, United States · Oakland, CA, United States · Rancho Cordova, CA, United States · Redding, CA, United States · San Diego, CA, United States · Woodland Hills, CA, United States

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BSC

Manager, Pharmacy Business Analysis

Long Beach, CA, United States
CA, United States
El Dorado Hills, CA, United States
Lodi, CA, United States
Oakland, CA, United States
Rancho Cordova, CA, United States
Redding, CA, United States
San Diego, CA, United States
Woodland Hills, CA, United States

Apply on ecge.fa.us2.oraclecloud.com About employer

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Job details

Posting language: English
Posted: Nov 13, 2026

Original job description

Your Role The Pharmacy Operations and Stabilization team provides end-to-end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed from issue identification through resolution within a matrixed environment. The Manager, Business Analysis will report to the Sr Manager, Operations and Stabilization. In this role you will manage the team who owns the end-to-end translation of pharmacy benefit intent into business requirements, operational frameworks, and quality validation strategies; provide consultative leadership across quality assurance (QA), testing, and production stabilization activities; and influence cross-functional decisions to resolve complex issues and improve benefit accuracy, operational performance, and governance across matrixed business, clinical, technical, and vendor teams.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

Provide analytical support through the analysis and interpretation of data in support of cross-functional business operations
Contribute to annual operating plans, capital budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
Develop, prepare and analyze reports for management review, and present to various levels of management
Define business requirements and provide analysis to increase operational efficiency
Analyze actual results against plan and forecast and recommend interventions where appropriate
Translate pharmacy benefit intent, business needs, and operational inputs into clear requirements, process flows, test scenarios, and supporting documentation
Support quality assurance and user acceptance testing by validating benefit configuration, documenting results, and coordinating defect resolution
Analyze production issues, trends, and root cause indicators to support timely triage, escalation, remediation, and prevention efforts
Partner with business, clinical, technical, and vendor teams to clarify requirements, resolve questions, and ensure alignment across implementation and stabilization activities
Maintain dashboards, trackers, reports, and issue documentation to support operational visibility, leadership updates, and decision-making

Your Knowledge and Experience

Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience
Requires at least 7 years prior relevant experience, including 3 years of management experience gained as a team leader, supervisoror project/program manager
Requires extensive experience with healthy plan pharmacy operations
Requires experience translating business intent into business requirements, acceptance criteria, test scenarios, and operational validation plans
Requires experience supporting quality assurance, user acceptance testing, regression testing, defect management, and post-implementation validation for pharmacy benefit or healthcare operations initiatives
Preferred experience supporting large-scale pharmacy benefit implementations, annual benefit changes, product launches, client implementations, or system migration efforts

Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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Jobs in the United States