- CVS Health (Buffalo Grove, IL)
- …pharmacy claims data + Experience in healthcare industry, including health insurance, PBM or pharmacy services **Anticipated Weekly Hours** 40 **Time Type** ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Data Engineer within...will work with a collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not… more
- Humana (Springfield, IL)
- …health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management ( PBM ) to develop and implement strategies and ... the Humana Illinois FIDE-SNP health plan relationship with our internal PBM , Humana Pharmacy Solutions ensuring compliance with programmatic requirements,… more
- CVS Health (Springfield, IL)
- …exciting opportunity to join it's CVS Health's leadership team as a Director, Pharmacy Benefit Management ( PBM ) Underwriting, Analysis and Strategy. In this ... role, you will lead a critical segment supporting a strategic PBM client division of CVS with responsibility for identifying and executing on opportunities to… more
- CVS Health (Northbrook, IL)
- …meeting critical PBM client needs for data and reporting, including: pharmacy spend insights, historical cost trends and drivers, forward-looking projections of ... of SAP/HANA + Prior experience working with or for a Pharmacy Benefits Manager ( PBM ) + Experience in highly regulated compliance environment + Process… more
- Walgreens (Deerfield, IL)
- …GED. + At least 1 year of work experience in healthcare, specialty pharmacy , PBM and/or call centersettings. + Experience providing customer service to ... providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for… more
- CVS Health (Northbrook, IL)
- …in a distributed cloud environment, preferably GCP + Experience in healthcare/insurance, PBM , or pharmacy services + Experience leveraging GenAI and other ... CVS Health offers an exciting opportunity to join our PBM Finance Business Intelligence & Automation team, as a...Automation Engineer. You will develop a deep understanding of PBM Finance data and business processes as you transform… more
- CVS Health (Springfield, IL)
- … claims data. + Experience in healthcare industry, including health insurance, PBM or pharmacy services. **Education** + Bachelor's degree or equivalent ... CVS Health has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst...group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate around… more
- CVS Health (Buffalo Grove, IL)
- …management (UM) programs are compliant and supportive of regulatory and PBM pharmacy guidelines. Knowledge of utilization management interventions including ... and interpreting laws, rules, and regulations + Knowledge of PBM and benefit design preferred + 2+ years of...design preferred + 2+ years of Managed Care or PBM experience **Education** Registered Nurse degree, either associates or… more
- Prime Therapeutics (Springfield, IL)
- …+ Monitor and interpret competitive dynamics and emerging entrants in the Pharmacy Benefit Management ( PBM ) space, including implications of acquisitions, ... + 12 years of Finance, Analytics, or Business Economics within healthcare, PBM , specialty pharmacy , or healthcare consulting + Must be eligible to work in the… more
- Prime Therapeutics (Springfield, IL)
- …legal advice to internal clients including senior and executive leadership in PBM , pharmacy , specialty pharmacy , government programs, administrative support ... limited to: leading them through legal analysis, collaboration processes, education on PBM activities, support for Prime's various positions on legal matters, etc. +… more