OR ยท On-site
The center of gravity for this role is state-level PBM regulation, including licensing ... Strong analytical and problem-solving skills, with the judgment to balance legal risk, regulatory ...
OR ยท On-site
The center of gravity for this role is state-level PBM regulation, including licensing ... Strong analytical and problem-solving skills, with the judgment to balance legal risk, regulatory ...
OR ยท On-site
The center of gravity for this role is state-level PBM regulation, including licensing ... Strong analytical and problem-solving skills, with the judgment to balance legal risk, regulatory ...
OR ยท On-site
... PBM network participation rules, and HIPAA/HITECH. * Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and ...
OR ยท On-site
... PBM network participation rules, and HIPAA/HITECH. * Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and ...
... PBM network participation rules, and HIPAA/HITECH. * Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and ...
... PBM network participation rules, and HIPAA/HITECH. * Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and ...
$139K - $189K/yr
... PBM network participation rules, and HIPAA/HITECH. * Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and ...
Salem, OR ยท On-site
$17.50 - $21.25/hr
Analyze and interpret financial and operational data to inform decision-making and contract ... Minimum of 6 years of experience in pharmacy, health plan, or PBM contracting and pricing ...
Salem, OR ยท On-site
$17.50 - $21.25/hr
Analyze and interpret financial and operational data to inform decision-making and contract ... Minimum of 6 years of experience in pharmacy, health plan, or PBM contracting and pricing ...
$98K - $152K/yr
Lead and manage PBM and ABM products, with full ownership of end-to-end product life cycle ... Strong analytical acumen, with the ability to translate complex data into actionable insights and ...
$98K - $152K/yr
Lead and manage PBM and ABM products, with full ownership of end-to-end product life cycle ... Strong analytical acumen, with the ability to translate complex data into actionable insights and ...
OR ยท On-site
$105K - $150K/yr
Enterprise PBM RFP Execution - Lead the writing and editing of complex RFP responses for enterprise ... Analyze RFP requirements and develop structured response outlines and timelines. * Write, edit, and ...
OR ยท On-site
$105K - $150K/yr
Enterprise PBM RFP Execution - Lead the writing and editing of complex RFP responses for enterprise ... Analyze RFP requirements and develop structured response outlines and timelines. * Write, edit, and ...
Overview The Epic Data Acquisition Analyst works with client health systems to extract clinical ... and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative ...
Overview The Epic Data Acquisition Analyst works with client health systems to extract clinical ... and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative ...
$85K - $108K/yr
Overview The Senior Epic Data Acquisition Analyst leads the Data Acquisition Team's engagements ... and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative ...
$85K - $108K/yr
Overview The Senior Epic Data Acquisition Analyst leads the Data Acquisition Team's engagements ... and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative ...
OR ยท Remote
$155K - $175K/yr
... PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting * Must be eligible to work in the United States without need for work visa or residency ...
OR ยท Remote
$155K - $175K/yr
... PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting * Must be eligible to work in the United States without need for work visa or residency ...
Portland, OR ยท On-site
Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations ... Advanced analytical and problem-solving skills. * Proficiency with pharmacy management systems and ...
Portland, OR ยท On-site
Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations ... Advanced analytical and problem-solving skills. * Proficiency with pharmacy management systems and ...
Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail-oriented, and ...
Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail-oriented, and ...
Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail-oriented, and ...
Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail-oriented, and ...
$18.39 - $20.58/hr
... analyzing the caller's needs and by providing timely and accurate responses. Utilizes numerous ... Contacts physicians, pharmacies and PBM's when necessary to answer questions and obtain or provide ...
$18.39 - $20.58/hr
... analyzing the caller's needs and by providing timely and accurate responses. Utilizes numerous ... Contacts physicians, pharmacies and PBM's when necessary to answer questions and obtain or provide ...
$21.30 - $23.96/hr
Sound analytical problem solving, decision making, memory retention, and organizational skills ... Externally with Moda members, PBM vendor, providers, provider offices, pharmacists, and pharmacies.
$21.30 - $23.96/hr
Sound analytical problem solving, decision making, memory retention, and organizational skills ... Externally with Moda members, PBM vendor, providers, provider offices, pharmacists, and pharmacies.
Conduct quantitative and qualitative analysis to support business recommendations, including ... PBM navigation. * Demonstrated ability to take complex information and simplify it into crisp ...
New
Conduct quantitative and qualitative analysis to support business recommendations, including ... PBM navigation. * Demonstrated ability to take complex information and simplify it into crisp ...
New
Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and ... PBM, and company requirements. * Review submitted and adjudicated claims to confirm that key claim ...
Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and ... PBM, and company requirements. * Review submitted and adjudicated claims to confirm that key claim ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
Strong business acumen, knowledge of health care economics and financing, health care and PBM ... Demonstrated ability to review and analyze data from medication claims, recommending programs and ...
| Aspect | Pbm Analyst | Pbm Coordinator |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare, pharmacy, or related field; certifications like CPC or CPhT are common | Similar educational background; may also hold certifications but often less specialized |
| Work Environment | Works in healthcare or pharmacy benefit management companies, analyzing data and optimizing formularies | Supports daily operations, manages provider and client communications within healthcare settings |
| Employer & Industry Usage | Used in pharmacy benefit management, health insurance, and healthcare organizations | Common in healthcare administration, pharmacy services, and insurance companies |
The Pbm Analyst and Pbm Coordinator roles share similar educational backgrounds and work environments within healthcare and pharmacy benefit management. However, Pbm Analysts focus more on data analysis and formulary optimization, while Pbm Coordinators handle operational support and client communications. Both roles are essential in healthcare organizations but differ in their primary responsibilities.
Full-time
Medical, Dental, Vision, Retirement
Posted 25 days ago
Who is Prescryptive?
Prescryptiveis the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform alignsincentivesso affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us onLinkedInor visitingPrescryptive.com.
About this role
The Senior Attorney, Regulatory & Licensing will be a key member of Prescryptive's legal function, helping the company navigate the rapidly evolving state and federal regulatory environment affecting PBM operations, pharmacy, healthcare technology, digital prescribing, and drug pricing transparency. The center of gravity for this role is state-level PBM regulation, including licensing, registration, reporting, contracting, transparency, network access, and related operational requirements.
This role is both strategic and hands-on. You will advise the General Counsel, other legal team members, executive leaders, and cross-functional teams on state and federal legal and regulatory obligations; translate new and changing state requirements into practical business guidance; and help ensure Prescryptive can continue to innovate while meeting its compliance obligations.
The right candidate understands healthcare and is comfortable operating in a regulatory environment that is developing quickly. This person should be able to identify what has changed, assess what it means for Prescryptive, communicate the practical implications clearly, and partner with the business to implement compliant, workable solutions.
The ideal candidate brings strong PBM, pharmacy, healthcare technology, prescription drug, or healthcare regulatory experience; comfort working with state licensing and regulatory authorities; and the business judgment to support partnerships with manufacturers, health plans, pharmacies, technology vendors, and other healthcare stakeholders.
Principal Duties, Responsibilities
Required Skills
Required Education and Experience:
What we have to offer
Prescryptive is committed to fair pay practices. The projected annual salary for this position is $195,000 to $245,000. When preparing an offer, we consider the candidate's experience, depth of healthcare and regulatory expertise, interview feedback, internal equity, and location.
Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.