- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Underwriting in strategy and implementation efforts. + Underwriting and our PBM developing working relationships that drive partnership and accountability. + ... bring: + Minimum of 10 years underwriting, Pharmacy or related experience is required. PBM experience is a plus. + Five years of management experience required. +… more
- Prime Therapeutics (Boston, MA)
- …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
- 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 payer ... in biopharma required + Experience in biopharma market access (across payer, PBM , IDN, GPO, Specialty Pharmacy highly preferred + Experience with biologics and… more
- Prime Therapeutics (Boston, MA)
- …+ Experience leveraging tools to perform tasks + Knowledge of PBM or Healthcare industry **Preferred Qualifications** + Experience testing enterprise-class system ... software packages + Experience using Quality Center or other enterprise-level, test and defect management tool Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with… more
- Prime Therapeutics (Boston, MA)
- …solutions + Experience with recovery planning for IaaS/Paas Cloud solutions + PBM or healthcare industry experience + Experience with productivity software such as ... Microsoft PowerPoint, Excel, Visio 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… more
- Prime Therapeutics (Boston, MA)
- …skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification + P&T ... participation **Physical Demands** + Ability to travel up to 20% of the time + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and… more
- Prime Therapeutics (Boston, MA)
- …(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) Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and… more
- Prime Therapeutics (Boston, MA)
- …negotiation skills **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) + Understanding of security implications of domain + Proficiency in Visio, Microsoft Word, Excel, PowerPoint, Project Every employee must understand, comply with and attest to the… more
- Humana (Boston, MA)
- …decision support tools (eg, Micromedex, Lexicomp) + Pharmacy benefit management ( PBM ) platforms + Electronic health records (EHRs) + Passion for contributing ... to an organization focused on continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review **Additional Information:** **Interview Format** : As part of our… more
- Prime Therapeutics (Boston, MA)
- …as well as independently **Preferred Qualifications** + Pharmacy Benefit Management ( PBM ) experience or experience working with medical claims, pharmacy claims, ... healthcare and/or benefits data + Campaign management software experience (eg Adobe Campaign, Salesforce, IBM Campaign/Unica, etc.) + Proficient in Excel Every employee must understand, comply with and attest to the security responsibilities and security… more