- CVS Health (Hartford, CT)
- …database administration **Preferred Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims, Rebates, Network contracting, ... Sales, Call Center Ops and Pharmacy Ops + Business process design and development experience using SSMS (Sql Server Management Studio) Agent + SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support + SQL programming, MS… more
- CVS Health (Hartford, CT)
- …of AS400. Experience with either of these systems or prior exposure to the PBM or Medicaid industry would be advantageous. The ability to think critically and ... multitask is very valuable in this role. Additionally, you will be an integral part of recurring client meetings. You must be comfortable and adept with clearly communicating technical information (verbal and written) to non-technical people and leading… more
- Humana (Hartford, CT)
- …line of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the implementation of formulary and ... medical strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs. + Performs formulary and medical drug list analysis and reporting that assist in the decision making of Medicaid drug strategies. + Works across… more
- Prime Therapeutics (Hartford, CT)
- …skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification + Decision ... support tool experience (eg, order sets) Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and… more
- Prime Therapeutics (Hartford, CT)
- …Provide tactical legal advice and support to internal clients including PBM , pharmacy, specialty pharmacy, government programs, administrative support functions or ... other areas as assigned + Perform research, drafting and transactional work in support of legal matters; may manage litigation efforts for assigned business area + Advise internal clients regarding compliance with regulatory requirements and corporate… more
- Prime Therapeutics (Hartford, CT)
- …with regulatory compliance requirements (HIPAA and/or PCI) + Previous experience in PBM / health care industry + Strong experience with software development life ... cycle and project management principles + In-depth knowledge of two or more architectural domains (application, infrastructure, integration, and/or security + Master's degree in Computer Science or related area of study, or equivalent combination of education… more
- Prime Therapeutics (Hartford, CT)
- …degree or other advanced degree + 3 years of Pharmacy Benefit Management ( PBM ) experience Every employee must understand, comply with and attest to the security ... responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if… more
- Prime Therapeutics (Hartford, CT)
- …analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field + Previous experience using SQL, ... SAS, Alteryx, R, Python or related technologies + Must be eligible to work in the United States without the need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship.… more
- Prime Therapeutics (Hartford, CT)
- …with FinOps practices and frameworks. + Familiarity with healthcare or PBM industry. + Leadership or team management experience. + **Scripting/querying** : ... SQL, Python, or Shell for cost analysis and automation + **Cloud cost management tools** : AWS Cost Explorer, GCP Cost Management, Cloud Health, Cloud ability **Physical Demands** + Constantly required to sit, use hands to handle or feel, talk and hear +… more
- Prime Therapeutics (Hartford, CT)
- …Qualifications + Master's degree in Business, Healthcare or related field + PBM /health care experience + Experience with formal process improvement methodologies ... Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every… more