- Teva Pharmaceuticals (Parsippany, NJ)
- …or health insurance industry preferred) + Contracting experience with National GPO and PBM customers + Proven ability to propose, draft and interpret complex and ... innovative contract language + Deep understanding of commercial and government payer environments and regulations + Proficiency in contract lifecycle management (CLM) tools and Microsoft Office Suite + Knowledge of compliance standards including anti-kickback… more
- Prime Therapeutics (Trenton, NJ)
- …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
- Ascendis Pharma (Princeton, NJ)
- …therapeutic categories. + Develop and maintain tools to track payer and PBM behavior, formulary decisions, and contract performance to assess return on investment ... and the effectiveness of pricing and contracting strategies. + Oversee tracking and documentation of bids, payer feedback, and outcomes to support pricing strategy and planning. + Analyze competitor pricing, market trends, and regulatory changes (eg, Medicare,… more
- Prime Therapeutics (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- The Cigna Group (Morris Plains, NJ)
- …4- year bachelor's degree or foreign equivalent. Must have experience with PBM (Pharmacy Benefit Management) software, Broadvision, Spring Boot, Java, Open shift ... systems, and Dynatrace. + The salary for this position is $150,018.86 per year and this role is eligible for standard company benefits. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable… more
- Prime Therapeutics (Trenton, NJ)
- …with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain ... + Desire to work in management and lead others **Physical Demands** + Ability to travel up to 5% of the time + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to… more
- Ascendis Pharma (Princeton, NJ)
- …national and regional health plans, state Medicaid, Medicare Part B and D, VA/DOD, PBM 's, Employers, IDNs, Medical Groups and ACOs. + Deep understanding of FSS and ... CMS statutory price calculations (NFAMP, IFF, AMP, BP, URA), State Price Reporting, 340B, Tricare and the programs and calculations to support evaluations and analytics of pricing and product scenario planning + Demonstrated knowledge of payer decision-making… more
- Prime Therapeutics (Trenton, NJ)
- …**Preferred Qualifications** + Previous leadership/people management experience + PBM /health care experience + Certified Compliance and Ethics Professional ... (CCEP) or Certified Healthcare Compliance Professional (CHC) + Advanced degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience **Physical Demands** + Ability to travel up to 20% of… more
- Prime Therapeutics (Trenton, NJ)
- …5 years of work experience responding to proposals to include Pharmacy Benefit Management ( PBM ) experience + Must be eligible to work in the United States without ... need for work visa or residency sponsorship **Additional Qualifications** + Exceptional writing, editing, and communication skills + Ability to meet strict deadlines and balance multiple projects simultaneously without compromising quality + Excellent… more