- Elevance Health (Woodbridge, NJ)
- ** Senior Test Lead - Pharmacy Benefit Manager (PBM)** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... of new technologies and a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The ** Senior Test Lead (Business Change Manager … more
- The Cigna Group (Trenton, NJ)
- …not limited to the following: + Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify populations of ... Deep healthcare data (eg, PBM experience, Provider Networks, Billing, Medical and Pharmacy claims ), statistical analysis experience, and an understanding of all… more
- Ankura (New York, NY)
- …The position has tremendous growth potential with one of the leading professional services firms in the United States. Ankura's Disputes and Economics Healthcare ... Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice… more
- VNS Health (Manhattan, NY)
- …Participates in the decision making process for Prior Authorization processes related to pharmacy claims . + Responds to, researches and resolves any problems ... pharmaceutical services. Serves as a mentor for clinical pharmacists as a senior clinical pharmacy resource for clinical staff with medication management… more
- VNS Health (Manhattan, NY)
- …operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical and related ... activities. Participates in implementing standards of medical service and advises senior leadership on medical and administrative questions and policies as they… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …Department as well as serving as a mentor in order to foster their professional growth and development as well as their achievement of Company and/or departmental ... expectations and goals as identified by senior management. **Responsibilities** - Lead drafting and negotiating contracts for commercial, Medicaid and Medicare… more
- Cardinal Health (Trenton, NJ)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... others at this level_** + Manages department operations and supervises professional employees, front line supervisors and/or business support staff + Participates… more
- J&J Family of Companies (Titusville, NJ)
- …Marketing **Job Sub** **Function:** Marketing Insights & Analytics **Job Category:** Professional **All Job Posting Locations:** US159 NJ Titusville - 1125 ... Managed Markets) + Knowledge of market access dynamics (eg payers, specialty pharmacy , patient access) + Proficiency with all Microsoft applications (Excel, Word,… more