- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day clinical ... Day to Day: + Partner with Clinical Pharmacy and PBM Clinical teams to assist with strategic planning, development,...in conjunction with the Operations Managers to ensure regulatory compliance with CMS Chapter 18, and NCQA guidelines +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …P&P meetings. + Responsible for business oversight of after hours delegation program with PBM to ensure compliance with all NCQA requirements and to monitor ... true colors to blue. The Role The Pharmacy Operations Manager plays a critical role in the management of...management, quality and production and reporting to ensure regulatory compliance and service excellence. Reporting to the Director, Pharmacy… more
- Amazon (Boston, MA)
- …representing Amazon pharmacy with key relationships for Pharmacy Benefit Managers ( PBM 's), Manage Care Organizations (MCO's) Health Insurers (Health Plans, and ... Basic Qualifications - 10+ yrs overall experience preferably in PBM , health insurance, pharmacy, business development, marketing, managed care, Medicaid,… more
- Prime Therapeutics (Boston, MA)
- …agreements that support organizational goals related to specialty pharmacy offerings, compliance , and program optimization. The manager applies deep technical ... every decision we make. **Job Posting Title** Sr Program Manager (Contracts) - Remote **Job Description** The Sr. Program...required + 5 years of work experience in healthcare, PBM , specialty pharmacy, or health care consulting + 1… more
- CenterWell (Boston, MA)
- …to join our dynamic Pharmacy Business Development team as a Senior Product Manager , Pharmacy Product Management. The Senior Product Manager plays a pivotal ... preferred. + 5+ years of experience in product management within the pharmacy, PBM , or healthcare sectors. + Demonstrated success in managing products from concept… more
- J&J Family of Companies (Boston, MA)
- …Description:** We are searching for the best talent for a Therapy Access Manager in our Boston territory. **About Innovative Medicine** Our expertise in Innovative ... Engagement and Customer Solutions (PECS) team is recruiting for a Therapy Access Manager which will be a field-based position. PECS is committed to setting the… more
- Prime Therapeutics (Boston, MA)
- …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
- Amazon (Boston, MA)
- …world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic payer accounts. ... coordinating release schedules - Experience in healthcare, preferably Pharmacy, PBM , or pharmacy-adjacent Preferred Qualifications - Experience interpreting data and… more
- Prime Therapeutics (Boston, MA)
- …notifications, and periodic reports related to licensed functions (eg, Pharmacy Benefit Manager ( PBM ), Third Party Administrator (TPA), Utilization Review (UR), ... of subject areas of health care law affecting Pharmacy Benefit Management ( PBM ) companies, customers and pharmacies; find resolution for escalated issues + Draft… more
- Deloitte (Boston, MA)
- …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