- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …+ 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
- Prime Therapeutics (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …upon business needs + Other duties as assigned. **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree + 1 years of ... license in good standing with the State Board of Pharmacy in the State where the position is located....**Preferred Qualifications** + Managed care experience (Health Plan or PBM ) + Oncology experience + Board or Specialty certification… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and implementation, ... Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other duties as assigned **Minimum Qualifications** + PharmD or… more
- J&J Family of Companies (Horsham, PA)
- …health systems, hospital and physician group purchasing organizations, specialty pharmacy providers, pharmacy benefit managers, wholesalers, retailers, federal ... therapeutic areas across the fragmented US Healthcare System Payers ( PBM , Health Plan, Medicaid, Medicare), providers (IDN/Hospitals, Physicians), Pharmacies and… more
- Prime Therapeutics (Harrisburg, PA)
- …ASA or FSA designation + 10 years of actuarial work experience at a health plan or PBM + 7 years of leadership experience + Must be eligible to work in the United ... recommending, and implementing efficient, innovative business solutions to clients' complex pharmacy benefit challenges + Strong understanding of pharmacy plan… more