PBM Pharmacy Benefit Manager Rxclaim Jobs

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PBM (PHARMACY BENEFIT MANAGEMENT) PROJECT MANAGER

Pyramid Consulting Group, Inc

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Remote

Contract

Partner with client to evaluate project deliverables against timeliness, adherence to budget, management of scope, and quality of requirements and work closely with client project contacts, the project manager will perform activities to support the timely completion of deliverables in accordance with the project plan and acceptance by client Pyramid Consulting Group has a Pittsburgh client with an immediate need for an experienced PBM (PHARMACY BENEFIT MANAGEMENT) PROJECT MANAGER. Will be respon
Posted 60+ days ago | Updated 1 day ago

Pharmacy Benefits Management-PBM Network Process Manager-Fully Remote !!

Elite Technical

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Remote

Contract

Our direct client , a major healthcare company, is seeking a Pharmacy Benefits Manager-PBM Network Process Manager for a long term contract, contract to hire engagement. This position fully remote however candidates MUST reside in the following states ONLY..Maryland, Virginia, West Virginia, North Carolina, Pennsylvania, Delaware, New York, New Jersey,T exas, Florida and Washington DC.. This is an operations oversite and management role where the business would like someone with a knowledge of p
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Posted 28 days ago | Updated 15 days ago

VP, PBM

Vaco by Highspring

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Remote

Full-time

Hiring a VP of PBM for a startup healthcare client 100% remote in US only Duties/Responsibilities: Lead the development and launch of Companys in-house Pharmacy Benefit Manager (PBM), defining the vision, strategy, and roadmap to transition from external vendors to internal operations. Manage the strategic shift from outsourced PBM services, ensuring a seamless, cost-effective transition with minimal service disruption. Oversee core PBM functions: claims adjudication, pharmacy contracting,
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Posted 22 days ago

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

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Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp
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Posted 60+ days ago | Updated 15 days ago

Financial Pharmacy Benefits Management

Vega Consulting Solutions

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Remote or Baltimore, Maryland, USA

Contract

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 60+ days ago | Updated 15 days ago

Remote - Product Manager [Health Tech & Pharmacy Benefits Management]

GRT Corporation

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Remote

Contract

Job Title: Product Manager Healthcare Technology and Pharmacy Benefits Management (PBM) Location: Remote - United States Position Type: Contract (12+ months) on W2 Compensation: $50-$55/hour dependent on experience Overview: We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functi
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Posted 60+ days ago | Updated 12 days ago

Software Engineering Senior Advisors- Hybrid

Cigna

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Remote or Morris Plains, New Jersey, USA

Full-time

The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Write and modify complex software application programs, and lead work groups responsible for software development, design, documentation, troubleshooting, and quality testing of contact center applications.Support and enhance applications used by consumers and internal call center agents.Assist in preparing for the adoptio
Posted 11 days ago | Updated 3 hours 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 6 days ago | Updated moments 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 6 days ago | Updated moments ago

Lead OT System Support Engineer

UnitedHealth Group

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Chandler, Arizona, 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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us
Posted 12 days ago | Updated 3 hours ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work
Posted 27 days ago | Updated moments ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work
Posted 27 days ago | Updated moments ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work
Posted 27 days ago | Updated moments ago

Implementation Manager

Genesis10

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Plano, Texas, USA

Full-time

Genesis10 is seeking an Implementation Manager for our client in the Pharmacy Benefits Management (PBM) Industry. This is a Contract position which can be worked REMOTELY. Rate: $55.00 - $65.00ph W2 (NO 3 rd Parties) Position Details: Use your project management skills and apply your pharmacy benefit management knowledge to support clients through PBM implementations. Manage the overall project timeline and ensure that client deliverables are produced on time, with high quality. Perform in a
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Posted 3 hours ago

Pharmacy Solutions Product Owner

Gainwell Technologies LLC

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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 46 days ago | Updated moments ago

Pharmacy Solutions Product Owner

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 46 days ago | Updated moments ago

Pharmacy Solutions Product Owner

Gainwell Technologies LLC

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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 46 days ago | Updated moments ago

Manager, Software Application Development - myPBM

CVS Health

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Remote or Richardson, Texas, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 43 days ago | Updated 4 hours ago

Sr. Full Stack Developer - 100% remote from anywhere in the US

Calance

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Remote or New York, New York, USA

Full-time

Senior Full Stack Software Developer Position Responsibilities: Exercise leadership over all team products from design to production. Work with product managers and designers to refine requirements before implementation. Demonstrate technical leadership at a team level driving on time execution and software delivery. Represent software development team s products technically to stakeholders. Demonstrate ownership and responsibility for team products throughout their production lifecycles. Inter
Posted 60+ days ago | Updated 12 hours ago

Remote - Lead Full Stack Engineer [Angular, Java, Google Cloud Platform]

GRT Corporation

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Remote

Contract

Job Title: Full Stack Engineering Lead [Java, Spring Boot, Angular 16+, Google Cloud Platform] Location: United States - Remote Duration: Contract (12-15 months, potential extension) PositionSummary: A GRT Client is seeking an accomplished Full Stack Engineering Lead to steer multiple onshore/offshore pods through the full software development lifecycle of large scale, cloud native applications. You will combine deep technical mastery in Angular 16+, Java, Spring Boot, and PostgreSQL with prove
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Posted 60+ days ago | Updated 25 days ago