NCPDP Jobs

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RxCLAIM SME(Business / Systems Analysis)

Helishores Inc

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Remote

Contract, Third Party

Role: RxCLAIM SME Location: Remote Required: Minimum of 8+ years' experience in PBM operations, with direct involvement in plan design and configuration. Deep expertise in RxCLAIM or comparable adjudication systems. Familiarity with NCPDP standards and formulary management. Strong understanding of Commercial & Medicare benefit structures involving Formularies/Drug lists, Pharmacy Networks and Pricing (Client/Pharmacy) Excellent analytical and documentation skills, with ability to translate busin
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Posted 10 hours ago

Pharmacy Business Analyst - Conversion & Prior Auth SME

Gainwell Technologies LLC

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Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Business Analyst - Conversion & Prior Auth SME at Gainwell, you can contribute your skills as we harness the powe
Posted 16 days ago | Updated 1 hour ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

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Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 16 days ago | Updated 1 hour ago

Encounters System Analyst

ALTA IT Services

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Dayton, Ohio, USA

Full-time

Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program
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Posted 22 days ago | Updated 2 hours ago

PBM Analyst - Pharmacy Benefits Management - data analytics

KE Staffing

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Remote

Full-time

2+years of pharmacy benefits management (PBM) experience in data analytics. Prior experience with formulary coding options and pharmacy network configuration, claims adjudication experience (preferred).SQL experience
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Posted 1 day ago

Sr. Data Management Analyst

McKesson Corporation

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Remote or Irving, Texas, USA

Full-time

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patien
Posted 41 days ago | Updated 5 hours ago

IBM Transformation Extender (ITX) Specialist

InfiCare Technologies

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Remote or US

Contract, Third Party

Job Title: IBM Transformation Extender (ITX) Specialist Location: Remote (work from home) Duration: 1+ year Contract Job Description As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interop
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Posted 10 days ago | Updated 7 hours ago

Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

SanKar Inc

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Remote

Contract

Position: - Sr. Business Analyst (PBM Domain and RxCLAIM experience)Location: - RemoteType: - Contract Job Description Perform comprehensive business analysis including requirement elicitation, stakeholder interviews, and gap analysis.Create detailed Business Process Maps (BPMs) and flow diagrams to visualize current and future-state workflows.Work closely with solution architects, QA teams, developers, and business users to ensure proper interpretation of Business processes.Use SQL to query da
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Posted 3 hours ago

RxCLAIM SME

Data Wave Technologies Inc

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US

Contract

Job Title: RxCLAIM SME Location: Remote Duration: Long term Tax Term: W2 Key Technology: RxClaim, PBM Job Responsibilities: Act as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms. Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications. Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy,
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Posted 1 day ago | Updated 22 hours ago

Technical Product Manager

Inclined Inc

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Remote

Contract, Third Party

Role : Technical Product Manager Location : Remote JD: Key Responsibilities Develop and execute product strategies, roadmaps, and technical requirements.Collaborate with engineering, design, and business teams to deliver scalable solutions.Analyze market trends, customer feedback, and competitive landscapes.Translate business objectives into actionable technical and product features.Ensure optimal performance, security, and scalability of products.Manage product lifecycle from concept to deploym
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Posted 32 days ago | Updated 18 days ago

Business Analyst Specialty Pharma & PBM Experience

DVI Technologies, Inc.

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Remote

Contract

Job Title: Business Analyst Specialty Pharma & PBM Experience Location: Remote (Occasional Travel Required) Employment Type: W2 Contract Pay Rate: $50/hr Company: DVI Technologies Job Description: DVI Technologies is seeking a skilled Business Analyst with a strong background in Specialty Pharmacy systems and Pharmacy Benefit Management (PBM) to join our growing healthcare IT team. The ideal candidate will bring deep domain expertise in healthcare, particularly in specialty pharma operations and