- Elevance Health (Washington, DC)
- ** 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
- Prime Therapeutics (Washington, DC)
- …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 (Washington, DC)
- …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
- Elevance Health (Washington, DC)
- …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
- Prime Therapeutics (Washington, DC)
- …solutions to complex problems and lead cross-functional projects. **Responsibilities** + Serves as expert consultant and subject matter expert in the company for ... and experts from multiple teams to design and implement complex DR process interfaces and their enablement within multiple applications and tools + Functions… more
- Prime Therapeutics (Washington, DC)
- …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 (Washington, DC)
- …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
- Elevance Health (Washington, DC)
- …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
- Takeda Pharmaceuticals (Washington, DC)
- 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
- Prime Therapeutics (Washington, DC)
- …Description Summary** Provide leadership in the formal design of the product development process and the monitoring of targeted products as they evolve through this ... be created. + Serves as the company's product & innovation subject matter expert for customer relationships as related to strategic initiatives that provide external… more
- Prime Therapeutics (Washington, DC)
- …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
- Norstella (Washington, DC)
- …product portfolio has been built by listening to our clients, and with expert teams of pharmacists, clinicians, data specialists and market researchers who provide ... current and future payer trends; intimate knowledge of Payer, PBM , and IDN organization structures and offerings; understands nuances...as part of any recruitment, interview, or pre-hire onboarding process . If you are aware of or have reason… more