- AscellaHealth (Berwyn, PA)
- …new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position is crucial to delivering value ... comprehensive understanding of specialty pharmacy benefits, rebate strategies, and core PBM functions. This individual will contribute to client retention and… more
- CVS Health (Harrisburg, PA)
- …will have the opportunity to use your healthcare and prescription benefit management ( PBM ) sales and account expertise to grow our business. Growth is achieved ... CVS Health for long term growth in the ambitious PBM marketplace! **Required Qualifications** : + Minimum two years...Management or equivalent client-facing experience in healthcare or the PBM industry. + Ability to travel overnight up to… more
- CVS Health (Pittsburgh, PA)
- …substance use disorders. The position will support Department of Insurance audits, PBM market conduct examinations, CMS audits, and internal regulatory reviews and ... years of experience in regulatory pharmacy, utilization management, or PBM operations. + 3+ years of managed care experience....+ Experience supporting audits and regulatory reviews in a PBM or managed care setting. + Familiarity with mental… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- Henderson Brothers Inc. (Pittsburgh, PA)
- …as a strategic advisor to clients on pharmacy benefits design, utilization, PBM performance, and emerging trends + Lead quarterly performance reviews, renewals, and ... areas for optimization and cost containment + Support RFP processes, PBM implementations, and contract negotiations + Collaborate with internal teams, including… more
- UPMC (Pittsburgh, PA)
- …with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. + Practice appropriate hand hygiene both ... laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. +...laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. +… more
- BrightSpring Health Services (Wexford, PA)
- …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
- Deloitte (Pittsburgh, PA)
- …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
- CVS Health (Harrisburg, PA)
- …in sales operations, enablement, or field support-preferably within a PBM or healthcare environment Preferred Qualifications** **Proven leadership experience with ... and leading through influence.** **Preferred Qualifications:** **Experience in a PBM or healthcare environment** **Education:** **Bachelor's degree or equivalent… more
- Prime Therapeutics (Harrisburg, PA)
- …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
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