- Prime Therapeutics (Tallahassee, FL)
- …experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, ... renewing and submitting applications for licensure **Preferred Qualifications** + PBM /health care experience + Certified Compliance and Ethics Professional (CCEP)… more
- Molina Healthcare (St. Petersburg, FL)
- …with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager ( PBM ) for pharmacy contractually delegated functions. + Responsible for key performance ... 4 years of experience in pharmacy, managed care, Pharmacy Benefit Management ( PBM ) or health care, or equivalent combination of relevant education and experience.… more
- Prime Therapeutics (Tallahassee, FL)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... Pharmacy Degree, or other related advanced degree + Extensive experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and… more
- Prime Therapeutics (Tallahassee, FL)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... other graduate work, or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare, and health plans + Pharmacist / Pharm D +… more
- Prime Therapeutics (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …+ 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 (Jacksonville, FL)
- …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
- WTW (Tampa, FL)
- …and executing on innovative engagement design and approaches + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of PBM performance ... (financial and operational) + Plan analysis, design, cost-savings and member engagement strategies + Strategy for effectively managing pharmacy benefits aligned with broader health care goals + Specialty drug management + Materially grow pharmacy benefits… more
- Prime Therapeutics (Tallahassee, FL)
- …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
- Prime Therapeutics (Tallahassee, FL)
- …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