Project Manager - PBM - PMP - Claims / Medicare - Medicaid

Position: Business Analyst with Pharmacy Benefits Management 100% Remote Hiring: W2 Contract / Fulltime Job Description: We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise and who will help guide the roadmap and feature enhancements for the PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) and the techni

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Position: Principal Solution Architect Pharmacy/PBM Type: 6 months Contract-to-Hire Lo

Job Description: Job Title: QA Tester (Pharmacy claims and PBM testing experience) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: We re looking for a Test Engineer with strong pharmacy claims and PBM testing experience to support an NCPDP D.0 to F6 implementation. This role is responsible for validating transaction changes, claim adjudication outcomes, eligibility and coordination of benefits scenarios, reject messaging, payer sheet impacts, data mapping, r

Senior Director of Claims and Eligibility Operations - REMOTE Role And Responsibilities The Senior Director of Claims and Eligibility Operations is responsible for the strategic leadership and operational oversight of two critical and interdependent functions within Liviniti\'s Operations organization: Claims Adjudication and Eligibility Operations. This is a senior leadership role that carries accountability for the accuracy, integrity, and performance of both verticals, and serves as the prima