- CVS Health (Harrisburg, PA)
- …join it's CVS Health's leadership team as a Director, Pharmacy Benefit Management ( PBM ) Underwriting, Analysis and Strategy. In this role, you will lead a critical ... segment supporting a strategic PBM client division of CVS with responsibility for identifying...by: + Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D,… more
- 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)
- …As a Senior Marketing Manager for the Caremark Brand and Content Strategy team, you will be addressing the needs of our clients and members by developing and ... executing a thought leadership strategy that delivers on our messaging pillars and drives our audience to engage digitally. Specifically, you will directly support the content ideation, development and distribution for the Caremark brand. The Senior Manager… more
- CVS Health (Harrisburg, PA)
- …in the Architecture community to drive modernization opportunities for the advancement of PBM technology while keeping in mind the complexities of our IT landscape + ... to App Dev, Technology Services and Solutions and EA to develop/assemble PBM -applicable reference architectures for cloud-native applications to be applied to PBM… 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
- Prime Therapeutics (Harrisburg, PA)
- …develops and applies advanced knowledge of pricing strategies in the PBM industry; provides underwriting services to determine pricing and monitors accounts ... in Finance or Accounting, including 3 years in the PBM industry + Must be eligible to work in...Qualifications** + 5 years of finance experience in the PBM industry + Progressive underwriting experience **Physical Demands** +… 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