- World Insurance Associates, LLC. (Philadelphia, PA)
- …Skills, and Abilities (Expert) + Plan design (eg, VBD, RBP, PBM ,) underwriting, funding concepts and external third-party products/solutions, beyond traditional ... insurance products. + Carrier negotiations with clients with large and highly complex clients + Executive presence with polished communication/presentation skills with the ability to influence key decision makers. + Project planning and management around… more
- Prime Therapeutics (Harrisburg, PA)
- …with regulatory compliance requirements (HIPAA and/or PCI) + Previous experience in PBM / health care industry + Strong experience with software development life ... cycle and project management principles + In-depth knowledge of two or more architectural domains (application, infrastructure, integration, and/or security) + Formal Enterprise Architecture training and certification + Experience modeling Enterprise… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- CVS Health (Harrisburg, PA)
- …for key support functions that enable CVS Health's Pharmacy Benefit Management ( PBM ) forecasting and financial governance processes. This role plays a critical part ... in ensuring the accuracy and consistency of data artifacts used across underwriting, finance, and related business functions. Primary responsibilities include supporting product management activities, developing reporting solutions, and preparing materials for… more
- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …**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 (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …work experience in sales, account management, and strategy development experience in PBM , pharmacy, health plan and/or managed care + 10 years of leadership/people ... management experience + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict,… more