- Fresenius Medical Center (Waltham, MA)
- …in cost containment and vendor performance optimization . Strong background in managing PBM 's and rebate programs . Experience on the Broker side of employee ... benefits beneficial **Supervision** Responsible for the direct supervision of benefits staff across various levels, including hiring, coaching, performance management, and disciplinary actions. **Key Qualifications** **Minimum Requirements** . Bachelor's… more
- Prime Therapeutics (Boston, MA)
- …Yellow Belt or higher + Experience working at a Pharmacy Benefit Management ( PBM ), healthcare, or other complex organization in a highly regulated industry + ... Experience working as a practitioner in project management, program management, release management, business analysis, business architecture, agile, or SAFe (Scaled Agile Framework) **Physical Demands** + Ability to travel up to 10% of the time + Ability to… more
- Prime Therapeutics (Boston, MA)
- …with regulatory compliance requirements (HIPAA and/or PCI) + Previous experience in PBM / health care industry + Previous experience working in an Agile/Product ... Delivery model + 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… more
- Prime Therapeutics (Boston, MA)
- …communication skills + Highly analytical and research oriented **Preferred Qualifications** + PBM or healthcare experience + Advanced Python or SAS experience + ... Master's degree (eg, MS, MPH) or equivalent work experience **Physical Demands** + Ability to travel up to 10% of the time + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms +… more
- Prime Therapeutics (Boston, MA)
- …to work effectively in a matrixed team environment **Preferred Qualifications** + PBM , health plan, or health care experience 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 employee must be able to perform the essential… more
- Highmark Health (Boston, MA)
- …**Preferred** + Prior pharmacy experience with a pharmacy benefit manager ( PBM ), consultant, pharmacy provider, or another organization specializing in pharmacy ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong written and oral communication skills + Strong relationship building skills + Client focused with strong business acumen + Self-starter with the ability to work under… more
- Humana (Boston, MA)
- …line of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the implementation of formulary and ... medical strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs. + Performs formulary and medical drug list analysis and reporting that assist in the decision making of Medicaid drug strategies. + Works across… more
- Insight Global (Boston, MA)
- …1 year hospital/sterile processing (home infusion/CAPS/etc.) OR 3+ years retail/specialty/ PBM Strong attention to detail, analytical skills, and critical thinking ... skills. Must be well organized and be able to stay on task regardless of environmental distractions Strong communication skills including the following: Well-spoken and well written (grammatical intelligence and syntax) Proficiency with Microsoft Outlook,… more
- Sanofi Group (Cambridge, MA)
- …knowledge of the payer data ecosystem, including formulary/UM criteria databases, payer-plan- PBM hierarchies, lifecycle claims, use of APLD/rebate data in GTN ... analysis. + Knowledge of special and emerging areas like patient tokenization, specialty pharmacies / IDN specialty pharmacies / SP data integration, SDOH. + Knowledge of and/or experience in MR, forecasting, analytics, reporting, MMX, etc. **Why Choose Us?**… more
- Prime Therapeutics (Boston, MA)
- …skills required. **Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification + Decision ... support tool experience (eg, order sets) 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… more