- CVS Health (Northbrook, IL)
- …+ Prior experience working with or for a Pharmacy Benefits Manager ( PBM ) + Experience in highly regulated compliance environment + Process Improvement ... Director, Client Reporting Product Development will lead and oversee the development of PBM front-end client reporting tools and systems. This leader will focus on… more
- CVS Health (Springfield, IL)
- …set, and the team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data, Analytics, and Automation team. To be ... CVS Health has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst...to, financial and operational information supporting state and federal compliance reporting. You will be responsible for standard and… more
- CVS Health (Buffalo Grove, IL)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within our Reporting Solutions team. CVS ... limited to, financial and operational information supporting state and federal compliance reporting. You will continuously improve quality control and accuracy of… more
- Deloitte (Chicago, IL)
- …projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant ... Pharmacy Benefit Manager /Health & Group Benefits Senior Consultant Human CapitalOur...clients on industry trends, best practices, regulatory updates, and compliance deadlines. + Evaluate vendors by reviewing services, contracts,… more
- Prime Therapeutics (Springfield, IL)
- …every decision we make. **Job Posting Title** Sr. Functional Bus Consultant ( Compliance ) - Remote **Job Description** The Senior Functional Business Consultant The ... Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a high level of understanding of… more
- AbbVie (Mettawa, IL)
- …maintains reporting to track performance, dashboard metrics, 340B entity eligibility compliance ), (3) manages 340B duplicate discount scrubbing (4) manages Covered ... roster provided to wholesalers + Monitor and track pricing compliance (reconciling to the wholesaler chargebacks) and coordinate with...IQVIA data sources (eg HCOS data), Rx claims data, PBM rebate data. + Knowledge of 340B flows preferred.… more
- Elevance Health (Chicago, IL)
- …patient care outcomes, enhancing service delivery, and ensuring regulatory compliance . Functions that this role oversees include case management, prescription ... strategies to ensure affordability, generic utilization, and medication adherence in compliance with contract language and state/federal regulations. + Oversee a… more
- Prime Therapeutics (Springfield, IL)
- …management experience in a technology function or similar area for a Pharmacy Benefit Manager ( PBM ), health plan, or managed care organization + Must be eligible ... scalable, enterprise-grade platforms and solutions + Strong understanding of PBM , healthcare and pharmaceutical ecosystem, including digital health trends and… more
- CenterWell (Springfield, IL)
- …Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement drug strategies ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of Medicaid formulary… more
- Prime Therapeutics (Springfield, IL)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... and the strategic plan of the client, ensuring contract compliance and measurement of key deliverables + Establish key...meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and… more