- Sedgwick (Harrisburg, PA)
- …+ Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit management a plus. + Understanding of pain ... is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + Generating phone calls to… more
- Prime Therapeutics (Harrisburg, PA)
- …to work in a team environment as well as independently **Preferred Qualifications** + Pharmacy Benefit Management (PBM) experience or experience working with ... medical claims, pharmacy claims, healthcare and/or benefits data + Campaign management software experience (eg Adobe Campaign, Salesforce, IBM… more
- Prime Therapeutics (Harrisburg, PA)
- …or GED is required + 5 years of work experience responding to proposals to include Pharmacy Benefit Management (PBM) experience + Must be eligible to work in ... messaging + Facilitate meetings throughout the year with sales and account management leadership to ensure Prime is effectively and accurately representing the… more
- AmeriHealth Caritas (Reading, PA)
- …those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health ... but not limited to PCP, home care, skilled nursing and rehabilitation services, DME, pharmacy , case management and/ or social worker referral for community needs… more
- Prime Therapeutics (Harrisburg, PA)
- …required + 5 years of experience in detailed analytical work in financial, insurance, pharmacy benefits management , reporting & analytics, benefits ... implementation of financial modeling changes to improve accuracy + Consult with management and/or senior leadership to analyze and troubleshoot data analysis and/or… more
- Merck (North Wales, PA)
- …and publications. + Responsible for study-related contracting, budgets, and vendor/partner management . + Develop American Managed Care Pharmacy (AMCP) dossiers ... License:** No **Hazardous Material(s):** n/a **Required Skills:** Biopharmaceutics, Clinical Pharmacy , Communication, Data Management , Epidemiology, Health Economics,… more
- The Cigna Group (Philadelphia, PA)
- …addressing plaintiff-side or affirmative litigation; + Experience representing health insurance or pharmacy benefit management companies is preferred; + ... cases start to finish. Experience litigating federal and state healthcare and/or pharmacy benefits law is preferred, though not required. + Direct and manage all… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …decisions, backed by data, strategy, and deep industry knowledge. We're looking for a Pharmacy Benefits Consultant to join our growing Pharmacy Consulting ... Practice and help clients navigate the ever-evolving pharmacy benefits landscape. In this high-impact role,...your expertise to help clients design, implement, and manage pharmacy benefit strategies that are cost-effective, clinically… more
- Aerotek (Pittsburgh, PA)
- …store, including both the front end and pharmacy . You will support pharmacy inventory management activities, champion On Shelf Availability, and ensure the ... environmental factors, and physical capabilities of facilities. **Pay and Benefits ** The pay range for this position is $18.00...is $18.00 - $18.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and… more
- Highmark Health (Pittsburgh, PA)
- …+ Accountability for escalated or complex issue resolution. + Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and ... , steering committees and/or project sponsors. + Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace.… more