- 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
- 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
- CVS Health (Buffalo Grove, IL)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy ... pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM or pharmacy services. **Education** + Bachelor's degree or equivalent work… more
- CVS Health (Springfield, IL)
- …7+ years of analytical, actuarial or underwriting experience + 1+ years of PBM experience **Preferred Qualifications** + 4+ years actuarial experience + Extensive ... PBM and/or Healthcare experience + Financial modeling experience + Experience working with IT and Scrum methodology + Strong collaboration skills and willingness to… more
- Prime Therapeutics (Springfield, IL)
- …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 (Springfield, IL)
- …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
- Prime Therapeutics (Springfield, IL)
- …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 (Springfield, IL)
- …diploma or GED is required + 5 years of work experience in healthcare, PBM , specialty pharmacy, or health care consulting + 1 year of project/program management ... experience + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** + Ability to work in self-directed environment + Critical thinking skills and ability to anticipate issues and develop… more
- Prime Therapeutics (Springfield, IL)
- …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