- UPMC (Pittsburgh, PA)
- …with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. + Distribution: Develop and maintain ... positive and productive service relationships during medication distribution process. + Distribution: Participate in the distribution of medication including medication cassettes, emergency medication carts and the delivery of controlled substances per… more
- Highmark Health (Harrisburg, PA)
- …**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
- Prime Therapeutics (Harrisburg, PA)
- …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
- CVS Health (Pittsburgh, PA)
- …MS Office Products (Word, Excel, Access, PowerPoint - Knowledge of PBM and benefit design preferred **Preferred Qualifications** Managed Care, Medical Specialty ... **Education** BS in Pharmacy or PharmD required **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $118,000.00 - $206,250.00 This pay range represents the base hourly rate or base annual full-time… more
- Humana (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …Provide tactical legal advice and support to internal clients including PBM , pharmacy, specialty pharmacy, government programs, administrative support functions or ... other areas as assigned + Perform research, drafting and transactional work in support of legal matters; may manage litigation efforts for assigned business area + Advise internal clients regarding compliance with regulatory requirements and corporate… more
- UPMC (Erie, PA)
- …and State laws (eg, HIPAA), regulations (eg, OSHA), and Pharmacy Benefit Manager ( PBM ) contracting requirements (eg, FWA and CMS). Completion of high school diploma ... or equivalent required AND one of the following: 1. Completion of an accredited pharmacy technician program 2. Six months of previous pharmacy technician experience 3. Six months experience as a Pharmacy Assistant within the UPMC Health System 4. Enrollment in… more
- UPMC (Coudersport, PA)
- …+ Comply with Federal and State laws (eg, HIPAA), OSHA regulations, and PBM contracting requirements (eg, FWA and CMS). + Maintain all required documentation, ... including: + Eye wash logs + Refrigerator logs + Perpetual inventory logs + Participate in departmental quality improvement activities to enhance pharmaceutical care. + Use computer systems to process and maintain patient information and pharmacy records. +… more
- Prime Therapeutics (Harrisburg, PA)
- …degree or other advanced degree + 3 years of Pharmacy Benefit Management ( PBM ) 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 functions of the job and, if… more