- AscellaHealth (Berwyn, PA)
- …global specialty pharmacy and healthcare services organization, is seeking a Relationship Account Manager for our Berwyn, PA location. The person in this role will ... new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value… more
- Deloitte (Pittsburgh, PA)
- …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
- Highmark Health (Harrisburg, PA)
- …the pharmacy as well as the medical benefits. This job will have a strong compliance focus to ensure adherence to CMS turnaround times for ACA and MA members and ... pharmacy edits. + Ensures adherence to all regulatory and compliance guidelines (CMS, NCQA, DOH, etc.) as it pertains...years in managed care pharmacy and/or pharmacy benefit management ( PBM ) + 1 year in a leadership role with… more
- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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