NCPDP jobs in California

California

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Today

Compensation: $60-$80 per hour ABOUT THE ROLE Our client is seeking a highly skilled Clinical Informatics Data Architect to lead the transformation of fragmented healthcare datasets into FHIR-compliant formats. In this pivotal role, you will architect advanced FHIR modeling and validation solutions, develop custom StructureDefinitions, and utilize FHIR Shorthand (FSH) to ensure all resources strictly adhere to US Core profiles and internal organizational extensions. You will design and execute

Contract

$60.00 - $80.00

Lead Data Scientist - Clinical Informatics (Claims Specialization)

Remote or New York

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan

Full-time

USD 130,295.00 - 260,590.00 per year

Sr. Analyst - PBM - Claims / formulary adjudicator - Healthcare - Medicaid

Remote

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21d ago

PBM experience Agile Healthcare Government programs, compliance, or Medicare. NCPDP 4 year degree is required (must be achieved) claims adjudicator integration understanding with strong business and technical acumen

Easy Apply

Contract

$50+

Pharmacy Benefit Management (PBM) Subject Matter Expert (SME)

California

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3d ago

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. Strong plus if candidate has experience with Electronic Prescriptions and Prior-Authorizations related standards. Deep understanding of related PBM standards from NCPDP. Strong plus if candidate also understands CMS regulations r

Easy Apply

Third Party

Business Analyst- Pharmacy Systems

Remote or Hybrid in Pittsburgh, Pennsylvania

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13d ago

Job Title: Business Analyst Retail PharmacyWe are seeking a detail-oriented Business Analyst with strong experience in retail pharmacy operations and technology systems. In this role, you will bridge the gap between business stakeholders and technical teams to drive the design, implementation, and optimization of pharmacy solutions. You will play a key role in gathering requirements, improving workflows, and supporting systems that enhance patient care, regulatory compliance, and operational ef

Easy Apply

Full-time

Depends on Experience

Delphi Developer

Remote

•

3d ago

Please go through the following position. If you are comfortable please reply with your Updated Resume ASAP. Position:Senior Delphi Developer Location:Remote Role Duration:Long term Contract About the Role: We are seeking a highly skilledSenior Delphi Developer with proven expertise in designing, developing, and maintaining healthcare-related software applications. The ideal candidate will have a strong background in Delphi programming, database-driven application development, and deep knowledge

Easy Apply

Contract

Depends on Experience

EDI Test Automation Engineer

Remote or Nashville, Tennessee

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4d ago

The selected engineer will be responsible for designing, developing, and executing automated test solutions for complex EDI workflows. This role requires a deep understanding of healthcare EDI standards, compliance requirements, and the ability to independently build automation frameworks using multiple programming languages. Position Title: EDI Test Automation Engineer Location: Remote Position Count: 1 Submission Deadline: December 10 Required Skills Strong hands-on experience with EDI Transac

Contract

competitive

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NCPDP jobs in California, USA