- CenterWell (Springfield, IL)
- …Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement drug strategies ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of Medicaid formulary… more
- CVS Health (Springfield, IL)
- …each and every day. CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy ... and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful in this role,… more
- CVS Health (Springfield, IL)
- …transformational underwriting initiative to drive profitability across the enterprise. As a Manager you will support the design, strategy, and build of foundational ... data forecasting tools to support PBM pricing and underwriting functions. You will be tasked...Tableau) + 3+ years of professional work experience in PBM /healthcare industry + 1+ year Coding experience (SQL, SAS,… more
- CVS Health (Springfield, IL)
- …impact in your next role? Join CVS Health as the Trade Operations Analytics Manager , where you will create and facilitate the flow of information between Commercial ... Programs and the greater Trade business unit. The Manager understands key negotiations, annual and mid-year processes, and conversations across Commercial Programs.… more
- Prime Therapeutics (Springfield, IL)
- …The Employer Account Executive serves as the primary relationship manager for multiple employer/administrative services only (ASO) accounts. This position ... enterprise solutions that meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and satisfaction + Lead… more
- ChenMed (Berwyn, IL)
- …targets are met. + Performs other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILL AND ABILITIES: + Knowledge of and experience with state ... and/or supporting Pharmacy Technicians + Experience in a managed care setting (HMO, MSO, PBM ) is a plus + Certified to provide immunization is a plus + Completion… more
- Norstella (Springfield, IL)
- …may require travel to our main office for meetings as designated by the manager of the Clinical CoE. **Major Responsibilities** + Serves as a trusted advisor ... analysis(es) working with our internal platforms along with various partners and PBM 's decision support tools to justify the election of the appropriate pharmacy… more
- Prime Therapeutics (Springfield, IL)
- …Functional Business Consultant The Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a ... Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + Advanced experience using queries **Physical Demands**… more
- Prime Therapeutics (Springfield, IL)
- …with regulatory compliance requirements (HIPAA, PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain ... perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the IT department Potential pay for this position ranges from $94,000.00… more
- Prime Therapeutics (Springfield, IL)
- …for quality proposal responses; partner with stakeholders (sales lead, account manager and/or client) to determine appropriate inclusion of strategic positioning and ... 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… more