- 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
- CVS Health (Northbrook, IL)
- …and energy to the team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong conceptual ... **Position Description** CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a Senior Automation Engineer.… 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
- CVS Health (Buffalo Grove, IL)
- …set, and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful in this ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst...Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate… 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 ... Advise clients on industry trends, best practices, regulatory updates, and compliance deadlines. + Evaluate vendors by reviewing services, contracts, performance… more
- CenterWell (Springfield, IL)
- …and operations for multiple Medicaid markets. This role is responsible to ensure compliance with client contracts, as well as to identify opportunities and implement ... **Required Qualifications** + 3 - 5 years' experience with PBM operations + 3 - 5 years managing large...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Highmark Health (Springfield, IL)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... pharmacy **Skills** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to work under pressure independently and as part of a team + Ability to think… more
- Prime Therapeutics (Springfield, IL)
- …Account Consultant Sr - Remote **Job Description** The Senior Employer Account Manager is responsible for providing complex level support for the Employer Account ... at all levels within an organization + Ability to balance and prioritize compliance , business and other competing goals and risks, while still driving programs and… more
- Prime Therapeutics (Springfield, IL)
- …**Preferred Qualifications** + Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in ... PBM / health care industry + Understanding of security...to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this… more