- US Tech Solutions (PA)
- …Available to work weekends and holidays. **Skills:** + 1 to 3 Years + Previous PBM , managed care, hospital pharmacy , LTC pharmacy , Home Infusion pharmacy ... needed to process prior authorization requests + Submits authorizations to pharmacy and medical claims processors + Forwards prior authorization requests to… more
- CenterWell (Harrisburg, PA)
- …first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy , managed care, PBM , market and regulatory insights to develop, ... the Medicaid lines of business. + Utilizes broad understanding of pharmacy , managed care, PBM , market and regulatory insights to support the development of… more
- Humana (Harrisburg, PA)
- …health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy , managed care, PBM , market and regulatory insights to develop, ... Humana's Medicare line of business. + Utilizes broad understanding of pharmacy , managed care, PBM , market and regulatory insights to support the development of… more
- Prime Therapeutics (Harrisburg, PA)
- …in pricing or financial analysis to include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field. + ... and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and...in a dimensional data warehouse + Previous experience in PBM / health care industry Every employee must understand,… more
- BrightSpring Health Services (Wexford, PA)
- …affiliate of PharMerica, is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - ... in a timely manner + Retrieves data in the pharmacy system + Manages medication orders + Ensures proper...for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express… more
- Prime Therapeutics (Harrisburg, PA)
- …or GED is required + 8 years of Network Management experience within Pharmacy Benefit Management ( PBM ), healthcare or other highly regulated industry; including ... teams. **Responsibilities** + Negotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, specialty and… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy and/or PBM experience + 1 year of experience in ... healthcare industry + Experience working with highly confidential medical information + CPhT certification + Fluency in another language (Spanish) **Physical Demands** + Ability to sit 6 or more hours per day + Occasionally required to stand, walk and stoop,… more
- Deloitte (Philadelphia, PA)
- …for specific projects or key workstream lead on larger projects. + Evaluate Pharmacy Benefit Manager ( PBM ) contracts, deal terms, and financial proposals. + ... governments. We are specifically interested in consultants with deep pharmacy benefits experience as well as general health and...US health/welfare benefits. + 3+ years of experience in PBM RFPs + 2+ years of underwriting experience beyond… more
- Prime Therapeutics (Harrisburg, PA)
- …in pricing or financial analysis to include 1 year of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field + ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness… more
- Prime Therapeutics (Harrisburg, PA)
- …GED is required + 10 years of related work experience in healthcare, pharmacy benefit management ( PBM ), pharmaceutical sales, analytical contracting or business ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy strategies and all related partner/customer relationships. This position is… more