- Prime Therapeutics (Phoenix, AZ)
- …analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field. + Previous experience using SQL, ... etc) + Experience working in a dimensional data warehouse + Previous experience in PBM / health care industry Every employee must understand, comply with and attest… more
- Prime Therapeutics (Phoenix, AZ)
- …+ 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... specialty drug services + Experience in developing innovation solutions within the PBM /healthcare industry Every employee must understand, comply with and attest to… more
- Deloitte (Tempe, AZ)
- …or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + Be conversant in the pharmacy ... in consulting or brokerage in US health/welfare benefits. + 3+ years of experience in PBM RFPs + 2+ years of underwriting experience beyond basic model usage. + 4+… more
- Prime Therapeutics (Phoenix, AZ)
- …visa or residency sponsorship **Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to ... such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS,… more
- CVS Health (Phoenix, AZ)
- …years of analytical, actuarial or underwriting experience + 1+ years of PBM experience **Preferred Qualifications** + 4+ years pricing, actuarial or financial ... forecasting experience + PBM and/or Healthcare experience + Financial modeling experience + Experience working with IT and Scrum methodology + Strong collaboration… more
- Prime Therapeutics (Phoenix, AZ)
- …of work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... and artificial intelligence + Experience in developing new innovation solutions within the PBM /healthcare industry **Physical Demands** + Must be able to remain in a… more
- Prime Therapeutics (Phoenix, AZ)
- …advice to internal clients including senior and executive leadership in PBM , pharmacy, specialty pharmacy, government programs, administrative support functions or ... limited to: leading them through legal analysis, collaboration processes, education on PBM activities, support for Prime's various positions on legal matters, etc. +… more
- CVS Health (Scottsdale, AZ)
- …evolution of RPA as a technology) and assess their potential application to the PBM business as focus, while providing enabling services to the enterprise as a ... process mapping/mining tools, low-code/no-code platforms. + Pharmacy Benefits Management ( PBM ), Retail Pharmacy and/or Healthcare experience **Education:** + Bachelor's… more
- WTW (Tempe, AZ)
- …benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance ... (financial and operational) + Strategy for Specialty pharmacy products + Evaluation of onsite pharmacies at client locations + Serve as lead day to day contact for clients; materially contribute to project plan creation and lead the team on delivery; ensure… more
- CVS Health (Scottsdale, AZ)
- …interact within all levels of the organization + Experience working in PBM or healthcare industry **Education:** Bachelors Degree or equivalent experience, Master ... preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $92,700.00 - $203,940.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade… more