• Pharmacy Network Manager

    Prime Therapeutics (Boston, MA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** The Pharmacy ... regulated industry; including 3 years of managed care experience in medical or pharmacy network contracting + Must be eligible to work in the United States… more
    Prime Therapeutics (09/15/24)
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  • Maximum Allowable Cost Programs Specialist…

    Prime Therapeutics (Boston, MA)
    …specifications. The position coordinates and provides educational assistance to network providers regarding pharmacy reimbursement, provides liaison services ... decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this position is to ensure… more
    Prime Therapeutics (09/15/24)
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  • Mental Health Parity Clinical Analyst…

    WTW (Boston, MA)
    …+ Understanding of health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization ... data requests on behalf of each client/carrier + Coordinate with Project Manager regarding sending requests, timing, status, and follow-up + Attend internal and… more
    WTW (07/19/24)
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  • Mental Health Parity Clinical Reviewer…

    WTW (Boston, MA)
    …+ Understanding of health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization ... portion of parity assessment, including: + Complete reviews of medical and pharmacy documentation illustrating compliance with MHPAEA + Coordinate with Project … more
    WTW (08/21/24)
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  • Key Account Manager , Hematology, Heartland

    Takeda Pharmaceuticals (Boston, MA)
    …is true to the best of my knowledge. **Job Description** The Key Account Manager (KAM) is the liaison between Takeda and strategic prioritized National and Regional ... within the assigned customer segment, which may be Medical Policy, Operations, Pharmacy , Practice Guideline and Clinical decision makers, as well as any critical… more
    Takeda Pharmaceuticals (07/19/24)
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