Pharmacy & Project Manager

Role: Senior Synon & Cobol400 Developer Location: Remote Job Description * Design, develop, modify, and enhance applications using SYNON/COOL 2E, COBOL400, CL/400, CLLE, and DB2/400. * Develop and support RxCLAIM / pharmacy claims adjudication functionality and related business processes. * Analyze and enhance complex claim processing logic, including business rules and system workflows. * Develop and maintain integrations with downstream healthcare and PBM systems. * Perform major enhancements

Senior Synon & Cobol 400 Developer Job Location : Fully Remote Job Description Design, develop, modify, and enhance applications using SYNON/COOL 2E, COBOL400, CL/400, CLLE, and DB2/400.Develop and support RxCLAIM / pharmacy claims adjudication functionality and related business processes.Analyze and enhance complex claim processing logic, including business rules and system workflows.Develop and maintain integrations with downstream healthcare and PBM systems.Perform major enhancements and mo

Hello; Job Title: Pharmacy Subject Matter Expert (SME) Job Location & Mode: United States, Remote, Willing to go to client site on a need basis Long Term Key Responsibilities Domain Expertise & Advisory Act as the primary expert on pharmacy-related processes, regulations, and standards Provide insights on drug dispensing, inventory management, and prescription workflows Support clinical validation and review of pharmacy-related systems and processes Regulatory Compliance Ensure adherence to loc

EXPERIENCE LEVEL: Ideally 10+ years experience working in PBM domain (Claims processing related).Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area.PBM SUBJECT MATTER EXPERTISE: Candidate should have deep understanding of Pharmacy Benefit Management (PBM) business processes including Claims Adjudication, Data related processes (e.g. Eligibility data, Provider data, Drug data, Formulary data, Drug Utilization reviews) and their interconnections. S