- Elevance Health (Woburn, MA)
- **Pharmacy Benefits Manager** **( PBM ) Pricing Strategy Analyst, Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** PBM Pricing Strategy Analyst, Senior** is responsible for Administrative...of 3 years of experience with Pharmacy Benefits Manager ( PBM ), data analysis; or any combination of education and… more
- State of Massachusetts (Boston, MA)
- …the licensing activities relating to entities wishing to serve as Pharmacy Benefit Managers ( PBM ) (MGL c. 176Y as enacted by Chapter 342 of the Acts of 2024) ... insurance business in Massachusetts. *_Duties and Responsibilities:_* . Supervise the PBM licensing process, including monitoring the progress of work to ensure… more
- Prime Therapeutics (Boston, MA)
- …competitive dynamics and emerging entrants in the Pharmacy Benefit Management ( PBM ) space, including implications of acquisitions, service expansions, and disruptive ... required + 12 years of Finance, Analytics, or Business Economics within healthcare, PBM , specialty pharmacy, or healthcare consulting + Must be eligible to work in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …meetings. + Responsible for business oversight of after hours delegation program with PBM to ensure compliance with all NCQA requirements and to monitor service ... levels and quality of PBM staff. + Research and manage to resolution escalated...Research and manage to resolution escalated service issues with PBM mail order and customer service areas received from… more
- Takeda Pharmaceuticals (Boston, MA)
- …products. You will also be responsible for value story development, payer/ PBM contracting strategy, pricing, specialty pharmacy and distribution plans, and ... in biopharma required; biopharma market access experience highly preferred (across payer, PBM , IDN, GPO, specialty pharmacy, etc.) + Understanding of US payer market… more
- Takeda Pharmaceuticals (Boston, MA)
- …product level objectives across all access stakeholders. + Support and implement payer/ PBM and GPO pull-through strategies and communication plans for all USOBU ... and knowledge across multiple market channels including: all payer segments, PBM , IDN, distribution, specialty pharmacy, GPOs + Experience with Commercial brand… more
- Deloitte (Boston, MA)
- …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
- Beth Israel Lahey Health (Westwood, MA)
- …new and refill orders in an accurate and timely manner. 2. Resolves all PBM related billing problems and issues. 3. Handle phone inquiries and initial prescription ... Pharmacy Technician preferred. 2. Call center, Pharmacy data entry, and PBM billing experience. 3. Bilingual verbal and written communication. **Competencies:** 1.… more
- Prime Therapeutics (Boston, MA)
- …experience in a technology function or similar area for a Pharmacy Benefit Manager ( PBM ), health plan, or managed care organization + Must be eligible to work in ... scalable, enterprise-grade platforms and solutions + Strong understanding of PBM , healthcare and pharmaceutical ecosystem, including digital health trends and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and resolution for issues from MAPS, Health and Medical Management, IT & Ops, PBM account support team and other customer service areas + Develop strategies for ... in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is required. + Proficiency in standard computational office-suite… more