- Prime Therapeutics (Tallahassee, FL)
- …Qualifications** + Master's 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… more
- Prime Therapeutics (Tallahassee, FL)
- …years of leadership/people management experience. + 8+ years of work experience in Pharmacy Benefits Management ( PBM ), integrated health system or health plan ... experience. **Physical Demands** + Ability to travel up to 15% of 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 stand, walk and stoop, kneel, and… more
- CVS Health (Tallahassee, FL)
- …you will be responsible 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,… more
- Prime Therapeutics (Tallahassee, FL)
- …where the position is located + 8 years of work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology ... development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction through leading… more
- Prime Therapeutics (Tallahassee, FL)
- …State where the candidate resides + 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must be ... advisory boards + Other duties as assigned **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree + Current pharmacist… more
- Norstella (Tallahassee, FL)
- …to our Data Operations, Product and Client Managementteams. This role acts as the pharmacy and medical policy subject matter expert; providing deep knowledge of the ... pharmacy and medical benefit space and a level of...with our internal platforms along with various partners and PBM 's decision support tools to justify the election of… more
- CenterWell (Tallahassee, FL)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... used for prioritization purposes + Analyze data related to pharmacy trends and collaborating with internal partners and the...**Required Qualifications** + 3 - 5 years' experience with PBM operations + 3 - 5 years managing large… more
- ChenMed (Miami, FL)
- …and clinic staff on the importance of medication adherence + Represent the pharmacy department on relevant committees, payor calls, + quality teams, and market ... programs + Familiarity with appropriate local, state, and federal pharmacy -related regulations + Ability to work effectively, both independently...+ Experience in a managed care setting (HMO, MSO, PBM ) is a plus + Certified to provide immunization… more
- Prime Therapeutics (Tallahassee, FL)
- …and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. ... experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare,… more
- Prime Therapeutics (Tallahassee, FL)
- …visa or residency sponsorship **Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to ... Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience engaging with...Experience engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy… more