- Walgreens (Deerfield, IL)
- …Pharmacoeconomics and 1 year of work experience in Pharmacy Benefit Mangement ( PBM ), Contracting, Finance, Account Management or Pricing, OR high school diploma/GED ... and at least 4 years of experience in Pharmacy Benefit Management ( PBM ), Contracting, Finance, Account Management, or Pricing; or any combination of education and… more
- Prime Therapeutics (Springfield, IL)
- …Solution Strategist for our NEW JUDI program. If you have experience with PBM /health claims, love working in a fast-paced environment within a group that has ... and concerns and support collaborative problem solving **Preferred Qualifications** + PBM /health experience - Claims + Experience working on and coaching… more
- CVS Health (Springfield, IL)
- …**Preferred Qualifications** + 3-5 years of experience supporting Pharmacy Benefit Management ( PBM ) clients or within a health plan. + Experience in all market ... + Experience implementing template and/or customized clinical programs. + Knowledge of PBM adjudication engine and other systems leveraged in support of clients. +… more
- CVS Health (Springfield, IL)
- …the design, strategy, and build of foundational data forecasting tools to support PBM pricing and underwriting functions. You will be tasked with developing a deep ... experience (excel, Tableau) + 3+ years of professional work experience in PBM /healthcare industry + 1+ year Coding experience (SQL, SAS, or Python) **Preferred… more
- CVS Health (Springfield, IL)
- …are where our rates with pharmacy provides should be set. Deep knowledge of PBM pricing and operations is necessary as well as understanding of financial statements ... 7+ years data analytics and/or financial experience **Preferred Qualifications** + 2+ years of PBM experience + Ability to use SAS and Tableau programs + Adept at… more
- Rush University Medical Center (Chicago, IL)
- …in infusion services or other healthcare profession. *1 year experience with PBM & Major medical prior authorizations *Demonstrates basic knowledge of all technical ... different plans. 4. Determines patient's drug coverage as major medical or PBM and follow appropriate path to obtain authorization and patient's financial… more
- Prime Therapeutics (Springfield, IL)
- …of related work experience to include:##5 years of experience in a PBM , healthcare or insurance organization##5 years of financial analysis experience##2 years of ... with the specialty pharmacy, networks and trade functional areas within the PBM industry + Current or recent CPHT certification, basic clinical knowledge and… more
- Prime Therapeutics (Springfield, IL)
- …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 (Buffalo Grove, IL)
- …Software Development Engineer is responsible for managing the technical needs across PBM or Pharmacy Benefits Management space. They have accountability for the ... platforms. This position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives… more
- BrightSpring Health Services (Glenview, IL)
- …provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices nationwide flexible and adaptable solutions ... manages pharmacy benefits for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express local services, OnePoint serves… more