- Prime Therapeutics (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …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 (Tallahassee, FL)
- …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
- CVS Health (Tallahassee, FL)
- …efficient ingestion, and build semantic data layers by sourcing data from PBM , Specialty, Retail and HealthCare business. Job Requirements: 5+ years of experience ... in healthcare operations 5+ years healthcare informatics experience Experiecne with databases including but not limited to Microsoft SQL server, SAS and SQL programming languages; Experience with Visualization tools, including PowerBI or Tableau Software… more
- Prime Therapeutics (Tallahassee, FL)
- …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
- 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, ... 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
- Bristol Myers Squibb (Tampa, FL)
- …team and work collaboratively with other internal and external partners on PBM conflict/dispute resolution + Provide oversight for various aspects of external vendor ... contract negotiations, service level performance, system enhancements, system controls, and issue resolution + Ensure maintenance of appropriate departmental SOPs and work with internal and external auditors and team to ensure SOX compliance of rebate… more
- Prime Therapeutics (Tallahassee, FL)
- …Previous experience working an in Agile/Product Delivery model + Previous experience in PBM / health care industry + Understanding of security implications of domain ... + Comfortable leading and mentoring others 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
- CVS Health (Tallahassee, FL)
- …willingness to plan and achieve colleague success. + Deep understanding of PBM , health plan, payor marketplace, program development and client management. + Proven ... financial acumen, and ability to set strategic direction to achieve budget goals and financial targets. + Demonstrated action and problem-solving orientation. + Experience with products, client management and operations with the ability to solve complex… more