- AscellaHealth (Berwyn, PA)
- …responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management ( PBM ) or health plan environment. This position ... is crucial to delivering value through a comprehensive understanding of specialty pharmacy benefits, rebate strategies, and core PBM functions. This individual… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of ... Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy benefits… more
- CVS Health (Harrisburg, PA)
- …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
- Intermountain Health (Harrisburg, PA)
- …of all member data in accordance with policy and applicable regulations. **Skills** + Pharmacy + Pharmacy Benefits Management ( PBM ) + Medical Prescriptions + ... **Job Description:** The Pharmacy Government Stars Pharmacist Coordinator plays a pivotal...degree or Masters degree from an accredited school of pharmacy . Degree will be verified. + State license to… more
- Walgreens (Pittsburgh, PA)
- …equivalent GED. + At least 1 year of work experience in healthcare, specialty pharmacy , PBM and/or call center settings. + Experience providing customer service ... 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 (Harrisburg, PA)
- … 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
- Prime Therapeutics (Harrisburg, PA)
- …+ 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 (Harrisburg, PA)
- …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
- Highmark Health (Harrisburg, PA)
- …use review activities, operational oversight and/or member engagement + 3 years in managed care pharmacy and/or pharmacy benefit management ( PBM ) + 1 year in ... Description :** **JOB SUMMARY** This job will be accountable for the clinical pharmacy operations area, specifically the clinical team of pharmacists who support the… more
- WTW (Pittsburgh, PA)
- …+ Pharmacy benefit plan analysis, design and cost savings strategies + Pharmacy Benefits Manager ( PBM ) vendor procurement and negotiation + Audits of ... **Description** As a Pharmacy Consultant you will be at the forefront of managing pharmacy benefits projects for large, complex clients. You will position… more