PBM Pharmacy Benefit Manager Rxclaim Jobs

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PBM Strategic Manager

Vega Consulting Solutions

•

Baltimore, Maryland, USA

Contract, Third Party

Vega Consulting is hiring! Pharmacy Benefits Management Professional for our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and that live within a commutable distance to our client site located in Baltimore. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, i
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Posted 9 days ago | Updated 3 days ago

Pharmacy Benefits Management

KMM Technologies, Inc

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Baltimore, Maryland, USA

Full-time, Contract

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie
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Posted 9 days ago | Updated 23 hours ago

Program Manager - Pharmacy Benefits Management

Vega Consulting Solutions

•

Baltimore, Maryland, USA

Contract, Third Party

Vega Consulting is hiring! Pharmacy Benefits Management Professional for our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and that live within a commutable distance to our client site located in Baltimore. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, incl
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Posted 9 days ago | Updated 3 days ago

Senior BA/Product Owner

DVI Technologies, Inc.

•

Pittsburgh, Pennsylvania, USA

Full-time

Job Title: Senior BA/Product Owner Locations: Pittsburgh, PA Mode- Onsite Role Hire: Full Time Permanent Role Company: DVI Technologies Salary: $80 PA + Full Time Benefits Skills Needed Candidate should have experience within healthcare domain, preferably in pharma/PBM systems, as Senior BA and Product Owner Experience. Responsibilities: Lead requirements gathering sessions with stakeholders in the healthcare domain, focusing on pharma/PBM systems. Define and prioritize product features and user
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Posted 13 days ago | Updated 10 days ago

Technical Solution Architect

Horizontal Talent

•

Minnesota, USA

Contract

Skills Bachelor's degree in Computer Science, Software Engineering, or a related field, or an equivalent combination of education and work experience. 8+ years in Business Analysis, System Design and Development, Systems Engineering, or Technical Architecture, including 3 years in an Architect role. Proficiency with major cloud platforms such as AWS or Google Cloud. Experience in migrating on-premises applications and systems to the cloud. Strong knowledge of programming languages like Python,
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Posted 17 days ago | Updated 6 days ago

Project Manager (Cloud Platform)

Horizontal Talent

•

Minneapolis, Minnesota, USA

Full-time

Join our team as a Project Manager (Cloud Platform) and lead the charge in setting up cloud infrastructure to support seamless application migration. This role is an exciting opportunity to drive innovation and efficiency in a dynamic and collaborative environment. Responsibilities Lead programs to successful completion by setting and managing scope, schedule, budget, and quality.Develop and maintain a program roadmap and strategy to ensure effective execution and delivery.Communicate program st
Posted 2 days ago | Updated 1 hour ago

Functional Business Consultant

TEKsystems c/o Allegis Group

•

Minneapolis, Minnesota, USA

Full-time

Description PLooking for a functional business consultant to bridge the gap between the operational areas of the business and RxClaims. These are basically SME's of Claims, Benefits, Eligibility, Accums, and Prior authorization to RxClaims team. They are essential to workstream leads that work on new client implementations or system enhancement projects as it relates to RxClaims and ops. Skills Strategic planning, Business strategy, Data accuracy, Project development, RxClaims, Claims, benefits,
Posted 5 days ago | Updated 11 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

•

Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 11 days ago | Updated 10 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 11 days ago | Updated 10 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

•

Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 11 days ago | Updated 10 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

•

Austin, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 11 days ago | Updated 10 hours ago

PBM Operational Accountant

ConsultNet, LLC

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North Kingstown, Rhode Island, USA

Full-time

The Senior Financial Specialist, PBM Operations will assist the senior manager in driving an accurate and efficient Month-End Close for assigned responsibilities and serves as a subject matter expert in Medicare Part D financial operations. This position is responsible for managing financial reconciliations, implementing financial controls, forecasting, reporting, and overseeing CMS and client payments for the Medicare Part D EGWP product and Medicare Part D health plan clients. The primary oper
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Posted 34 days ago | Updated 2 hours ago

Director, Pharmacy Financial Analysis & Planning

Gainwell Technologies LLC

•

Dallas, Texas, 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 GainwellRx is our solution and business platform to support states and Medicaid members across the country for prescription drug
Posted 44 days ago | Updated 10 hours ago

Director, Pharmacy Financial Analysis & Planning

Gainwell Technologies LLC

•

Austin, Texas, 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 GainwellRx is our solution and business platform to support states and Medicaid members across the country for prescription drug
Posted 44 days ago | Updated 10 hours ago

Director, Pharmacy Financial Analysis & Planning

Gainwell Technologies LLC

•

Houston, Texas, 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 GainwellRx is our solution and business platform to support states and Medicaid members across the country for prescription drug
Posted 44 days ago | Updated 10 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

•

Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 42 days ago | Updated 10 hours ago

Pharmacy Solutions Business Analyst

Gainwell Technologies LLC

•

Houston, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 42 days ago | Updated 10 hours ago

Software Engineer Advisors - Hybrid

Cigna

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Remote or Austin, Texas, USA

Full-time

The job profile for this position is Software Engineering Advisor which is a Band 4 Career Track Role with Cigna-Evernorth Services, Inc. Serve as Subject Matter Expert on complex engineering projects. Design and develop consolidated, conformed enterprise data warehouse and data lake to store all critical data across Customer, Provider, Claims, Client and Benefits data. Design, develop and implement methods, processes, tools and analyses to sift through data stored in data warehouse/data mart to
Posted 35 days ago | Updated 2 hours ago

Sr Network Pricing Analyst Remote

UnitedHealth Group

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Remote or Eden Prairie, Minnesota, USA

Full-time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv
Posted 1 day ago | Updated 2 hours ago

Senior Network Pricing Analyst

UnitedHealth Group

•

Remote or Ashburn, Virginia, USA

Full-time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv
Posted 6 days ago | Updated 2 hours ago