- AmeriHealth Caritas (Newtown Square, PA)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com . The ** Network Pricing Analyst** will collaborate with team members and ... matter experts to identify root causes of trends. + Support the Network team with validation of Medicaid/Medicare/Exchange pricing , collaborating with internal… more
- CenterWell (Dover, DE)
- …ensures contract compliance and performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for ... Benefits Manager (PBM), Humana Pharmacy Solutions, to maintain Humana's pharmacy network for existing and upcoming Medicaid business. The primary responsibilities of… more
- Penn Medicine (Philadelphia, PA)
- …program at PAH Neurology. This position is complete located at PAH, but will network with colleagues at HUP. The position will be eligible for a hybrid schedule ... authorizations and obtains prior authorizations for procedures. + Obtains medication pricing and coverage information for patients. + Initiates Tier 1 prescription… more