- CenterWell (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, ... implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve… more
- CenterWell (Boston, MA)
- …our CenterWell Pharmacy payer agnostic business. This role will support senior leaders in developing our pricing methodologies and sales to external payers. ... establishes market level financial metrics to align with CenterWell Pharmacy profitability goals, analyzes market level results and projections, and… more
- CVS Health (Woonsocket, RI)
- …level strategies account relationship management and direct accountability for rebate contracting with the manufacturer. Your position will be highly visible to ... senior partners as you will be responsible for negotiations...care expertise, with a focus on the management of pharmacy budgets related to manufacturers, will be key. You… more
- Elevance Health (Woburn, MA)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying and ... **Investigator Senior ** **Supports the Payment Integrity line of business**...insurance policies, health insurance claims handling and provider network contracting . **How will you make an impact:** + Claim… more
- Point32Health (Canton, MA)
- …other teams in the department + Will be responsible for collaborating with Clinical Pharmacy and Pharmacy Contracting teams to manage specialty drug trend ... and partner departments relative to the pharmacy benefit, formularies, and pharmacy programs. The Senior Clinical Pharmacist is expected to perform… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …to address business questions through exploratory data analysis. + Support specialty pharmacy contracting and performance tracking through targeted data and ... and optimizing patient experience and reimbursement processes, particularly in specialty pharmacy and hub services analytics. This role requires a strong background… more
- CenterWell (Boston, MA)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- Takeda Pharmaceuticals (Boston, MA)
- …forecast, build bottoms up coverage forecast, and partner with PVA teams on contracting strategy and scenario planning for GPO and Payers (across segments and ... analytics, payer marketing, and/or consulting related experience with both Pharmacy and Medical benefit products in managed classes +...+ Ability to lead across functions and engage with senior Oncology BU leadership with robust verbal and written… more