• Process Expert I - PBM

    Elevance Health (Hanover, MD)
    ** Process Expert I - PBM ** L _ocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Process Expert I** assists in identifying and researching workflow… more
    Elevance Health (10/01/24)
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  • Network Economic Financial Consultant

    Prime Therapeutics (Annapolis, MD)
    …to a variety of complex problems + Drive enterprise-wide transformation and process improvement to financial pricing analytics processes and programs + Other duties ... financial analysis to include 5 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field + 3 years of experience… more
    Prime Therapeutics (09/15/24)
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  • Actuary Principal - Remote

    Prime Therapeutics (Annapolis, MD)
    …and across the organization. **Responsibilities** + Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on ... initiatives, data analyses, and the Request For Proposal (RFP) process + Lead, manage, and review data analyses, reporting,...to include 6 years in a healthcare organization or PBM + Actuarial designation (ASA or FSA) + Must… more
    Prime Therapeutics (09/15/24)
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  • Assoc General Counsel Sr - Pharmacy

    Elevance Health (Hanover, MD)
    …serve as an Associate General Counsel Sr. to CarelonRx, a pharmacy benefits manager ( PBM ) owned by Elevance Health. This position will be responsible for serving as ... a subject matter expert on pharmacy law, specifically infusion and specialty Pharmacies,...onsite will be discussed as part of the hiring process . Candidates must reside within 50 miles or 1-hour… more
    Elevance Health (09/28/24)
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  • Systems Engineer Sr IT - Platform Administrator

    Prime Therapeutics (Annapolis, MD)
    …guidance. This position is responsible for serving as a subject matter expert and performing activities required for the support of secured IT infrastructure. ... + Responsible for project execution, solution, and building + Subject matter expert on specific technology domain + Serve as problem-solving partner and cross-train… more
    Prime Therapeutics (09/27/24)
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  • Sr. IT Systems Engineer - Kafka Admin Remote

    Prime Therapeutics (Annapolis, MD)
    …guidance. This position is responsible for serving as a subject matter expert and performing activities required for the support of secured IT infrastructure. ... + Responsible for project execution, solution, and building + Subject matter expert on specific technology domain + Serve as problem-solving partner and cross-train… more
    Prime Therapeutics (09/15/24)
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  • Account Service Manager Sr - Pharmacy Account…

    Elevance Health (Hanover, MD)
    …contractual requirements and obligations. + Manages the new and renewal implementation process for accounts. + Interfaces with operations to ensure smooth delivery ... to the broker and client. + Coordinates open enrollment meetings, renewal process and training sessions. + Participates in efforts to support standardization across… more
    Elevance Health (10/05/24)
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  • Manager of Payer Contracting

    Takeda Pharmaceuticals (Annapolis, MD)
    By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... lead the development and implementation of assigned Payer and PBM contracts with an emphasis on drafting and editing...of new commercial opportunities; Participate in the business case process to review the opportunities and assist in the… more
    Takeda Pharmaceuticals (09/04/24)
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  • Manager Reporting & Analytics - REMOTE

    Prime Therapeutics (Annapolis, MD)
    …without need for work visa or residency sponsorship **Additional Qualifications** + Expert knowledge of Microsoft Excel and Access tools + Interpersonal skills ... datamarts, or data warehouses + Experience writing SQL queries + Prior PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or… more
    Prime Therapeutics (10/05/24)
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  • Pricing Analyst Sr

    Prime Therapeutics (Annapolis, MD)
    …pricing modeling + Act as a financial pricing subject matter expert by educating internal/external financial pricing stakeholders on financial pricing programs ... include 3 years of experience in Pharmacy Benefit Management ( PBM ), claims processing, healthcare, and/or related field + Previous...a reasonable accommodation for any part of the employment process , please contact Human Resources at ### or email… more
    Prime Therapeutics (09/25/24)
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