NCPDP jobs in Remote

Nashville, Tennessee

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Yesterday

Arthur Lawrence is looking for a NCPDP Healthcare EDI Consultant one our clients in Nashville, TN. Please find the job description below and send us your updated resume if interested: Must-Have Skills:Strong expertise in NCPDP EDI transactions, particularly post-adjudication standards PAS 53 and PAS 45. Experience with Software Development Life Cycle (SDLC) and system implementation projects. Ability to design, develop, and implement healthcare data integrations, ETL solutions, and EDI-based d

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Contract, Third Party

Depends on Experience

NCPDP Healthcare EDI Consultant

Remote

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Yesterday

JOB TITLE NCPDP Healthcare EDI Consultant LOCATION Remote with expectations of occasional travel to client site RATE $58/hr DURATION 1+ Year Contract INTERVIEW MODE Video This would be supporting State of TN. If there is travel involved, it will be expensed. Please attach two managerial level references with each candidate submittal, we will have to check the reference before submittal per the client request. Reference 1 Reference 2 Name Name Title Title Company Company Phone Phone Email Email

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Contract

NCPDP Healthcare EDI Consultant

Remote

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Today

Role Title: NCPDP Healthcare EDI Consultant Remote Required Skills Expertise on NCPDP EDI transactions, especially post-adjudication standards (PAS53 and PAS45) Experience with SDLC and implementation projects Preferred Skills Responsibilities This role involves leading technical design, development, and implementation of integration solutions while collaborating with cross-functional teams Lead the design, development, and implementation of product-based data integration and ETL solutions

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Contract, Third Party

Depends on Experience

Healthcare Applications Developer (NCPDP/EDI/MMIS) - Fully Remote!!

Remote

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Today

Role: Professional Developer (NCPDP F6 Implementation Project) Location: Remote USA Duration: 3+ months (possibility of extension) Key Responsibilities Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support. Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable t

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Contract

45 - 50

PBM BUSINESS ANALYST

Remote

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13d ago

PHARMACY BENEFITS MANAGEMENT PBM SME and BUSINESS ANALYST Remote 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 Conduent PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) and the Technical team (Developers and Teste

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Third Party, Contract

Depends on Experience

EDI Tester / EDI QA Analyst

Hybrid in Raleigh, North Carolina

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Yesterday

seeking a Senior Automation Testing Lead to lead the effort in building Automation Testing to support the Managed Care Transition Project. This position is responsible for the following activities related to a critical system being developed in-house at the State: *Experience assessing the testability of requirements and developing test cases based on Business Requirements and Software Design Documents. * Experience in the execution of functional, integration and regression tests. *Demonstrated

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Third Party, Contract

Business Analyst – Pharmacy Claims

Remote

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Yesterday

What youll do Gather, analyze and translate pharmacy claims workflow requirements into Business Requirements Documents (BRDs), Functional System Specifications (FSDs) and user stories with clear acceptance criteria. Map transaction data fields across NCPDP Version F6 standards, including Eligibility Verification (E1), Claim Billing (B1), Claim Reversal (B2), Claim Rebill (B3) and Predetermination of Benefits (D1). Analyze field-level changes between NCPDP D.0 and F6, including: expanded field le

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Contract

Depends on Experience

EDI Automation Tester

Hybrid in Raleigh, North Carolina

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3d ago

Job ID: NC-814300 Hybrid/Local EDI Healthcare Automation Tester (15+) with X12, 837i/839/NCPDP, functional/integration/regression testing, HP ALM/JIRA, SQL, Agile experience Location: Raleigh, NC (NCDHHS-AM)Duration: 5 Months Skills:Experience in developing and executing test scripts related to X12 EDI Transmission such as 837i, 839 , NCPDP D.0 Required 2 YearsDemonstrated proficiency in conducting QA and testing on EDI applications Required 2 YearsExperience assessing the testability of require

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Third Party, Contract

Depends on Experience

Database Developer

Downey, California

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Today

Job#: 3056697 Job Description: Apex Systems is hiring a Database Developer for a large Healthcare client. Location: Downey, CA (Remote local to this area). Role Overview This position supports a critical data transmission modernization initiative driven by upcoming regulatory standards. The chosen specialist will join an established team to contribute immediately to SQL development and maintenance activities. This high-visibility project offers a long-term engagement supporting a major moderni

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Full-time

$60 - $70 per hour

Clinical Data Architect

Remote

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Today

Who We Are Verily Health is a data platform and technology company purpose-built to power AI-enabled precision health solutions that accelerate research and improve care for individuals and communities. Uniquely positioned at the intersection of technology, data science, and healthcare, Verily transforms multimodal health data into insights, models, and actions that make healthcare more personalized, predictive, and precise. Description We are seeking a highly motivated and detail-oriented Cl

Full-time

USD 119,500.00 - 179,000.00 per year

QA PBM

Remote

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13d ago

QA PBM REMOTE 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, regression coverage, and production readiness. The ideal candidate has strong pharmacy claims testing experience, working knowledge of NCPDP D.0, the abilit

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Contract, Third Party

Depends on Experience

.NET Developer - Healthcare Systems

Camp Hill, Pennsylvania

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Today

JOB TITLE: Professional .NET Developer JOB LOCATION: Remote WAGE RANGE*: $42hr TO $43.00 JOB NUMBER: 26-01547 REQUIRED EXPERIENCE: 5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems JOB DESCRIPTION Lead and participate in the full software development lifecycle (SDLC) for NCPDP F6 batch processing, including analysis, design, coding, testing, deployment, scheduling, monitoring, and production support. Collaborate with b

Full-time

USD 42.00 per hour

Reliability, Observability & Performance Manager

Minnesota

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Today

Job#: 3055088 Job Description: Reliability, Observability & Performance Manager Location: Minneapolis, Minnesota (Remote) Role Overview This position will own the processes for monitoring, measuring, and improving platform performance. The role involves transforming scattered alerts and manual checks into a clear, proactive, and accountable operating discipline. This position is central to the organization's multi-year PBM platform transformation, which supports pharmacy claims processing, be

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Full-time

$70 - $75 per hour

Senior Software Engineer

Schaumburg, Illinois

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Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance heal

Full-time

USD 91,700.00 - 163,700.00 per year

DHHS- IT Senior Automation Test Lead

No location provided

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Today

Engagement Type Contract Short Description NC Dept of Health and Human Services (DHHS) is seeking a Senior Automation Testing Lead for the work related to support the Managed Care Transition Project. Complete Description NC Dept of Health and Human Services (DHHS) is seeking a Senior Automation Testing Lead to lead the effort in building Automation Testing to support the Managed Care Transition Project.This position is responsible for the following activities related to a critical system being

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Full-time, Part-time, Contract, Third Party

Platform Engineer Sr Principal

Albany, New York

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: IT Infrastructure and Operations Job Qualifications: Skills: AWS Architecture, Enterprise Solutions Architecture, Leadership Management, Mainframe Technologies Certifications: None Experience: 10 + years of related experience ship Required: No Job Description: PLATFORM ENGINEER SR PRINCIPAL Advance how our customers operate w

Full-time

USD 144,500.00 - 195,500.00 per year

Lead Software Engineer - Remote

Remote or Schaumburg, Illinois

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Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 112,700.00 - 193,200.00 per year

Healthcare EDI Consultant

Nashville, Tennessee

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2d ago

Role: Healthcare EDI Consultant Duration: Nashville, TN Duration: 15 Months Contract with possibility of extensions IRG Clients seeking an experienced NCPDP Healthcare EDI Consultant to support the design, development, implementation, and maintenance of healthcare data integration solutions, with a primary focus on NCPDP (National Council for Prescription Drug Programs) electronic data interchange (EDI) standards. The consultant will play a key role in implementing the PAS 53 post-adjudica

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Contract, Third Party

Depends on Experience

Senior Automation Test Lead

Raleigh, North Carolina

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Today

Position: Senior Automation Test Lead Location: Raleigh, NC Client: State of North Carolina Duration: 12+ Months Job Description: Senior Automation Test Lead to guide the automation testing for a large healthcare transition project. Responsibilities include assessing testability of requirements, creating and executing test cases, and developing automated test scripts for EDI transactions (HIPAA X12 837I, 837P) and NCPDP D.0. Will lead functional, integration, and regression testing, manage test

Contract, Third Party

EDI / Healthcare QA Test Lead

Hybrid in Raleigh, North Carolina

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2d ago

We are looking for a proactive, self-driven Senior Automation Test Lead to drive quality assurance and test automation for a critical healthcare project. Position Details Role: IT Senior Automation Test Lead Location: Raleigh, NC Work Arrangement: Hybrid Interview Process: Webcam Interview Only Key Responsibilities Automation & Scripting: Script, build, and execute automated test suites for web applications and critical systems. EDI & Claims Testing: Develop and execute test scripts for HIPAA X1

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Third Party, Contract

Depends on Experience