- CVS Health (Buffalo Grove, IL)
- …teams in the organization that develops and operates the systems and processes for PBM rebates for CVS Health. The Lead Director will collaborate with the business ... stakeholders, vendors, and external partners to align the technology solutions with the strategic goals and objectives. This role will focus on delivery of all of rebates strategic 'Grow' initiatives as well as the build out of and migration from legacy… more
- Prime Therapeutics (Springfield, IL)
- …with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain ... + ITIL Foundations Certification + Desire to work in management and lead others **Physical Demands** + Ability to travel up to 10% of the time + Ability to work a flexible schedule including weekends, holidays, overtime, on-call, and shifts outside of Prime's… more
- Prime Therapeutics (Springfield, IL)
- …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) + Formal Enterprise Architecture training and certification + Experience modeling Enterprise… more
- Prime Therapeutics (Springfield, IL)
- …(Medicare) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy and/or PBM experience + 1 year of experience in healthcare industry + ... Experience working with highly confidential medical information + CPhT certification + Fluency in another language (Spanish) **Physical Demands** + Ability to sit 6 or more hours per day + Occasionally required to stand, walk and stoop, kneel, and crouch +… more
- AbbVie (Mettawa, IL)
- …industry. + Experience with IQVIA data sources (eg HCOS data), Rx claims data, PBM rebate data. + Knowledge of 340B flows preferred. + Working knowledge of the ... compliance and regulatory environment for manufacturers in the pharmaceutical space. Skills/Knowledge Required: + Experience leading and developing a team and building a positive culture. + Experience building processes, putting into production prototype… more
- Prime Therapeutics (Springfield, IL)
- …ASA or FSA designation + 10 years of actuarial work experience at a health plan or PBM + 7 years of leadership experience + Must be eligible to work in the United ... States without need for work visa or residency sponsorship **Additional Qualifications** + Excellent quantitative, problem solving, and analytical skills + Ability to manage multiple, complex projects simultaneously without compromising quality + Strong client… more
- Prime Therapeutics (Springfield, IL)
- …indirect leadership **Preferred Qualifications** + Previous Pharmacy Benefit Management ( PBM ) or healthcare experience with understanding of Medicare, Medicaid, the ... Exchanges along with regulatory compliance requirements (HIPAA and/or PCI) + Experience working in an internal or commercial software development organization with knowledge of software development life cycle + Understanding of security implications of domain… more
- Prime Therapeutics (Springfield, IL)
- …with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain ... + ITIL Foundations Certification **Minimum Physical Job Requirements** + Ability to travel up to 10% of the time + Ability to work a flexible schedule including weekends, holidays, overtime, on-call, and shifts outside of Prime's core business hours of 9:00 am… more
- CVS Health (Springfield, IL)
- …for key support functions that enable CVS Health's Pharmacy Benefit Management ( PBM ) forecasting and financial governance processes. This role plays a critical part ... in ensuring the accuracy and consistency of data artifacts used across underwriting, finance, and related business functions. Primary responsibilities include supporting product management activities, developing reporting solutions, and preparing materials for… more
- AbbVie (North Chicago, IL)
- …+ Three (3) to five (5) years of experience in a Managed Care/ PBM , VA/DoD, CMS, State Medicaid, health care consulting, pharmaceutical industry or related ... environment preferred. Completion of relevant Residency or Fellowship programs may be considered in lieu of some work experience. Account management experience in a commercial or clinical setting is preferred. + Required skills include: strong scientific… more