- 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
- Deloitte (Boston, MA)
- …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 (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)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …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
- Prime Therapeutics (Boston, MA)
- …resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and advance ... negotiation skills **Preferred Qualifications** + Previous Pharmacy Benefit Management ( PBM ) or healthcare experience with understanding of Medicare, Medicaid, the… more
- Highmark Health (Boston, MA)
- …MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in ... pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to… more
- Prime Therapeutics (Boston, MA)
- …comparisons **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
Recent Jobs
-
AVP & Actuary, Asset Liability Management
- Lincoln Financial (Fort Wayne, IN)
-
Pharmacy Technician Specialist PRN
- HCA Healthcare (San Antonio, TX)
-
Senior Manager/Director, Tax - High Net Worth
- Wipfli LLP (Minneapolis, MN)
-
CRC Benefits - Sales Executive, Small Group Health Insurance (Remote)
- CRC Insurance Services, Inc. (Bronx, NY)