Sentences with phrase «service pharmacy benefits management»

Southborough, MA — March 3, 2014 — RxAdvance, a full service Pharmacy Benefits Management company, announced George Rapier III, MD has joined its board of directors.

Southborough, MA — August 30th, 2016 — RxAdvance, a full service Pharmacy Benefits Management company, announced Oscar Salazar, co-founder of Uber, and Walter Jin, founder of Carlyle Healthcare Group, have invested in Series - A funding round and join the RxAdvance board.

Boston based RxAdvance is an innovative national full service Pharmacy Benefit Management (PBM) company created specifically for the future of healthcare to reduce overall pharmacy costs and avoidable drug - impacted medical costs leveraging disruptive Collaborative PBM Cloud ™ platform unveiling for the first time on June 3rd through June 5th at AHIP Institute 2015 in Nashville, TN.

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SXC sells pharmacy benefit management (PBM) services to U.S. businesses to process and pay prescription drug claims.

It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, commercial programs, home - based primary care services, life and health management, vision benefits management, pharmacy benefits management, specialty pharmacy and telehealth services.

Built on a unified data model and clinical intelligence, RxAdvance's PBM standard services include benefit design, artificial intelligence (AI) driven formulary design & modelling, claims processing, customer services, retail pharmacy network management, clinical services, and rebate management & modelling.

Joshua has also led more than 50 due diligence projects for financial and corporate sponsors, including a radiation oncology provider, a hospitalist physician practice management company, a workers» compensation specialty benefits manager, a small pharmacy benefit manager (PBM), a population health management service provider, a large integrated medical group / independent practice association (IPA), a regional payer, a health insurance brokerage, an occupational health / worksite clinic provider, a skilled nursing facility (SNF) and specialty benefits managers in the workers» comp and commercial spaces.

Southborough, MA — May 19th, 2017: RxAdvance today announced that the International Association of Sheet Metal, Air, Rail and Transportation Workers (SMART), one of North America's most dynamic and diverse unions with 216,000 members, has awarded its multi-year pharmacy benefit management (PBM) services contract to RxAdvance beginning on Jan. 1, 2018.

RxAdvance's pharmacy benefit management service offers a proven and innovative solution.

RxAdvance is a national full - service pharmacy benefit manager that leverages Collaborative PBM Cloud ™ to deliver integrated PBM services through three distinct service offerings: nirvanaRxCloud ™, a cloud - based, full - service PBM solution that reduces overall pharmacy costs; nirvanaAccountableCare ™, a risk - sharing solution to reduce avoidable drug - impacted medical costs; and nirvanaSpecialty ™, a solution to convert specialty drug treatment management from «Buy & Bill» to «Authorize & Manage», while improving patient's quality of life with unmatched regulatory compliance and transparency.

Built on a unified data model and clinical intelligence, RxAdvance's PBM standard services include Benefit and Formulary Design, Claims Processing, Customer Support Services, Retail Pharmacy Network Management, Clinical Services, and Rebate Manservices include Benefit and Formulary Design, Claims Processing, Customer Support Services, Retail Pharmacy Network Management, Clinical Services, and Rebate ManServices, Retail Pharmacy Network Management, Clinical Services, and Rebate ManServices, and Rebate Management.

His track record of successful business development and process improvement spans all aspects of the Healthcare industry including Pharmacy Benefit Management, Medical, Vision, Behavioral, Health Services, Life and Retail Services with business models ranging from start - up to national corporations.

Express Scripts is a pharmacy benefit management company offering a wide variety of services associated with providing prescription drugs to patients.

CVS Health Corporation provides pharmaceutical and pharmacy benefit management services to individuals and businesses throughout the United States and in Brazil.

The definition of a «contributing entity» at § 153.20 provides that for the 2015 and 2016 benefit years, a contributing entity is (i) a health insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management of internal appeals, or plan enrollment for services other than for pharmacy benefits or excepted benefits within the meaning of section 2791 (c) of the PHS Act.

EnvisionRx, with a commitment to providing transparency and disclosure to the Pharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sPharmacy Benefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related seBenefit Management (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other relatedManagement (PBM) marketplace, provides full service, integrated PBM services, including network - pharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related spharmacy claims processing, mail order, benefit design consultation, drug utilization review, formulary management, and other related sebenefit design consultation, drug utilization review, formulary management, and other relatedmanagement, and other related services.

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We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Assist Specialty Pharmacy operations and client services for the department including customer / patient services, management of materials, benefits coordination,...

Tags for this Online Resume: Account Management, Pharmacy Benefit Management, Insurance, Medicare, Benefit Consultant, Customer Service Management