- Prime Therapeutics (Harrisburg, PA)
- …+ 8 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated industry; including 5 years of managed ... network fee schedule management + 2 years of experience in specialty contracting + PBM or Healthcare experience **Physical Demands** + Ability to travel up to 15% of… more
- Prime Therapeutics (Harrisburg, PA)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... other graduate work, or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare, and health plans + Pharmacist / Pharm D +… more
- Prime Therapeutics (Harrisburg, PA)
- …years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business development; also to ... Pharmacy Degree, or other related advanced degree + Extensive experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and… more
- CVS Health (Harrisburg, PA)
- …build of foundational analytical tools that drive rebate forecasting needs to support PBM pricing and underwriting functions. This is a unique role that leverages ... experience + 3+ years of professional work experience in PBM /healthcare industry **Preferred Qualifications** + Rebate experience (forecasting, trade, etc.)… more
- Prime Therapeutics (Harrisburg, PA)
- …analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field. + Previous experience using SQL, ... etc) + Experience working in a dimensional data warehouse + Previous experience in PBM / health care industry Every employee must understand, comply with and attest… more
- Deloitte (Philadelphia, 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
- Prime Therapeutics (Harrisburg, PA)
- …+ 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... specialty drug services + Experience in developing innovation solutions within the PBM /healthcare industry Every employee must understand, comply with and attest to… more
- Prime Therapeutics (Harrisburg, PA)
- …visa or residency sponsorship **Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to ... such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with regulatory bodies (eg, CMS,… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- Highmark Health (Harrisburg, PA)
- …member engagement + 3 years in managed care pharmacy and/or pharmacy benefit management ( PBM ) + 1 year in a leadership role with demonstrated success in building a ... nurses, or other clinicians) in a utilization management operations setting in a PBM or Health Plan. + Experience with regulatory entities such as CMS, NCQA,… more