- Takeda Pharmaceuticals (Boston, MA)
- …products. You will also be responsible for value story development, payer/ PBM contracting strategy, pricing, specialty pharmacy and distribution plans, and ... in biopharma required; biopharma market access experience highly preferred (across payer, PBM , IDN, GPO, specialty pharmacy, etc.) + Understanding of US payer market… more
- Prime Therapeutics (Bismarck, ND)
- …experience working in a rapid iterative prototyping environment + Previous experience in PBM / health care industry Every employee must understand, comply with and ... five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM . We're reimagining pharmacy solutions to provide the care we would want for… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …manage the distribution of monthly, quarterly, and annual management reports for PBM clients. + Oversee and coordinate on-site resolution of customer service issues ... to clients. + Oversee and coordinate on-site orientation to new PBM clients when necessary. + Interface via all means of communication with various external business… more
- BrightSpring Health Services (Vancouver, WA)
- …provider of community-based hospice pharmacy and pharmacy benefits management ( PBM ) services - offering hospices nationwide flexible and adaptable solutions ... manages pharmacy benefits for thousands of patients per day. Through its Concierge PBM , Next Day Valet mail order, and Direct Express local services, OnePoint serves… more
- CVS Health (Woonsocket, RI)
- …non-IT categories that support key business units across the enterprise (Retail, PBM , Insurance, Specialty/Clinical, etc.). As a Sr. Category Manager, you will be ... a leader on the Sourcing & Category Management team, you should have an enterprise mindset, possess highly developed business background, and be a strong communicator who is able to establish lasting relationships with business leaders as well as internal and… more
- Tetrad Digital Integrity LLC (Washington, DC)
- …claims processing, enrollment and eligibility platforms, Pharmacy Benefit Manager ( PBM ) integrations, CRM and call center platforms and care/case management ... systems + Design secure integrations patterns (API's, middleware, EDI batch and event driven) + Ensure alignment with enterprise architecture standards, interoperability requirements, scalability and resiliency objectives + Develop and deliver executive level… more
- Bristol Myers Squibb (Princeton, NJ)
- …affordability programs **Patient Affordability Support** + Research and identify various Payer/ PBM -related strategies that shift costs to patients + Develop and ... maintain relationships across patient support vendors for ongoing communication + Assist in developing and executing initiatives that improve patient affordability and access to prescribed therapy + Analyze program data to support enhancements and informed… more
- Bristol Myers Squibb (Madison, NJ)
- …team and work collaboratively with other internal and external partners on PBM conflict/dispute resolution + Provide oversight for various aspects of external vendor ... contract negotiations, service level performance, system enhancements, system controls, and issue resolution + Ensure maintenance of appropriate departmental SOPs and work with internal and external auditors and team to ensure SOX compliance of rebate… more
- Bristol Myers Squibb (Princeton, NJ)
- …strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager ( PBM ) reforms, Inflation Reduction Act (IRA) negotiations, 340B, Most-Favored Nation ... (MFN) policies, and other relevant pricing regulations. The individual in this role contributes to analytics that shape strategic insights and inform pricing approaches, while also leveraging AI-powered analytics to enhance efficiency and impact.… more
- UPMC (Oakdale, PA)
- …with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. + General: Maintain all patient ... information and records. Maintain the pharmacy computer system as required. + General: Procure and maintain adequate inventory levels on daily basis in applicable areas such pharmacy medication stock rooms, automated medication carousels, and automated… more