- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Medical Policy Criteria + Review and interpret member's eligibility, claim history, and Pharmacy Program information using the PBM claims software to provide ... calls. + Process pharmacy authorizations utilizing PBM real time on line claims adjudication software. + Support new clinical program implementation + Serve as a… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Principal - Remote **Job Description** The Network Management ... Consultant is responsible for development and management of Prime's pharmacy networks, aligning with Prime's supply chain and network economic objectives. This… more
- Pfizer (Cambridge, MA)
- …proper utilization of such data. The position will primarily be focused on Specialty Pharmacy , but will include some work with HUB data and/or data feeds between ... SAS SOP's and Policies. The individual will primarily be aligned to the Specialty Pharmacy Centers of Excellence, but may also be tasked with other SAS COE analytic,… more
- AbbVie (Boston, MA)
- …+ Educate on product-specific acquisition and access options such as specialty pharmacy networks and specialty distribution + Educate on resources available to ... order to educate providers on payer issues, coding changes, and appropriate claims submission processes + Liaise with AbbVie's Access and Reimbursement support… more