- CenterWell (Boston, MA)
- …Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement drug strategies ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of Medicaid formulary… more
- BrightSpring Health Services (Lowell, MA)
- …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
- Prime Therapeutics (Boston, MA)
- …for maintaining and applying knowledge of pricing strategies in the PBM industry. **Responsibilities** + Oversees and coordinates workflow for the existing ... + 2 years of experience as a Senior Underwriter or Benefits Consultant + PBM experience **Physical Demands** + Constantly required to sit, use hands to handle or… more
- Prime Therapeutics (Boston, MA)
- …experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, ... renewing and submitting applications for licensure **Preferred Qualifications** + PBM /health care experience + Certified Compliance and Ethics Professional (CCEP)… more
- Prime Therapeutics (Boston, MA)
- …+ 8 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated industry; including 5 years of managed ... network fee schedule management + 2 years of experience in specialty contracting + PBM or Healthcare experience **Physical Demands** + Ability to travel up to 15% of… more
- Prime Therapeutics (Boston, MA)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... Pharmacy Degree, or other related advanced degree + Extensive experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and… more
- Prime Therapeutics (Boston, MA)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... other graduate work, or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare, and health plans + Pharmacist / Pharm D +… more
- Prime Therapeutics (Boston, MA)
- …analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field. + Previous experience using SQL, ... etc) + Experience working in a dimensional data warehouse + Previous experience in PBM / health care industry Every employee must understand, comply with and attest… more
- Prime Therapeutics (Boston, MA)
- …+ 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... specialty drug services + Experience in developing innovation solutions within the PBM /healthcare industry Every employee must understand, comply with and attest to… more
- Prime Therapeutics (Boston, MA)
- …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