PBM Jobs

Refine Results
1 - 20 of 60 Jobs

QA Functional Tester with PBM and Healthcare Domain Experience

iTeckSoft INC.

•

Remote

Contract

Note: iTeckSoft INC. will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship (H-1B, L-1B, L-1A, etc.). Introduction: We are seeking a skilled QA Functional Tester with extensive experience in Pharmacy Benefit Management (PBM) and the healthcare domain. The ideal candidate will be responsible for ensuring the quality and reliability of our healthcare applications, collaborating with cross-functional teams, and contributin
Easy Apply
Posted 24 days ago

Data Analyst (with SQL, PBM Pricing, Python exp) - Remote CTH

Amtex System Inc.

•

Virginia, USA

Contract, Third Party

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 25 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. Need: Solid
Easy Apply
Posted 60+ days ago | Updated 5 hours ago

PBM Operational Accountant

ConsultNet, LLC

•

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
Easy Apply
Posted 23 days ago | Updated moments ago

PBM Configuration Business Analyst - QNXT

Gainwell Technologies LLC

•

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 PBM Configuration Business Analyst - QNXT at Gainwell, you can contribute your skills as we harness the power of technolog
Posted 24 days ago | Updated 8 hours ago

PBM Advisor Configuration Business Analyst - QNXT

Gainwell Technologies LLC

•

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 an PBM Advisor Configuration Business Analyst - QNXT at Gainwell, you can contribute your skills as we harness the power of
Posted 24 days ago | Updated 8 hours ago

PBM Senior Configuration Business Analyst - QNXT

Gainwell Technologies LLC

•

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 PBM Senior Configuration Business Analyst - QNXT at Gainwell, you can contribute your skills as we harness the power of te
Posted 24 days ago | Updated 8 hours ago

PBM Data Analyst

ConsultNet, LLC

•

North Kingstown, Rhode Island, USA

Full-time

Data Analyst - Pharmacy Benefit Management (PBM) Job Summary: We are seeking a highly motivated and experienced Data Analyst with a strong focus on Pharmacy Benefit Management (PBM) to join our growing team. The ideal candidate will possess deep expertise in analyzing PBM data, including claims data, drug pricing, and demographics. This role will play a critical part in supporting business decisions and driving data-driven insights within the PBM domain. Responsibilities: Conduct in-depth ana
Easy Apply
Posted 29 days ago | Updated moments ago

Senior Provider - PBM / Trainer

Gainwell Technologies LLC

•

Anchorage, Alaska, 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 HMS , a Gainwell Company 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 assistanc
Posted 50 days ago | Updated 8 hours ago

Technical Delivery Manager

EPSoft Technologies LLC

•

Dallas, Texas, USA

Contract, Third Party

Role: Technical Delivery Manager (Google Cloud Platform/Azure) and AI/ML Location: Dallas, TX Type: Contract Min Exp required: 10+ years Job Description: The IT Development Manager position exists to successfully execute projects / initiatives in an information technology (IT) department. You will coordinate team or group activities with CVS Health and vendor staff resources. You will provide guidance and direction to project teams and direct reports on planning and execution of projects, t
Easy Apply
Posted 5 days ago | Updated 2 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
Easy Apply
Posted 2 days ago

AS400 SYNON Lead

Centraprise Corp

•

Remote or Richardson, Texas, USA

Full-time

Position: AS400 Synon with PBM experience Location: Richardson, TX /Chicago, IL (Remote) Duration: Fulltime Permanent Years of exp Required: 8-12 Years Job Requirements: Should be proficient in Modern RPG and Synon with good concepts of DB2.Should know the project execution knowledge and good team player.Should be able to technically lead a team of 3-5 resources.RxClaim PBM experience is a must to have.Technically lead the team, design, code and unit test the requirements. Establish connect with
Easy Apply
Posted 43 days ago | Updated 1 day ago

Lead Dot Net Developer

DTEL Engineering & Consultants Inc

•

Jersey City, New Jersey, USA

Contract, Third Party

Need Candidates who has worked with health care clients Need to be a Dot net Lead with PBM and Azure Back ground
Easy Apply
Posted 60+ days ago | Updated 5 days ago

IT Migration Data Analyst Support

Hallmark Global Technologies

•

US

Contract, Third Party

IT Migration Data Analyst Support C2H/C2C Work Location: Remote (EST preferred) The client is transitioning their adjudication platform from an external vendor to an internally developed system. To support this migration, they have allocated a significant number of internal resources to the project. However, they require additional personnel to assist with the workload and to take on tasks that their internal teams are unable to complete. Work with business and technology partners (e.g., Solut
Posted 60+ days ago | Updated 17 hours ago

Product Manager - Pharmacy App

NTT DATA Americas, Inc

•

Remote or New York, New York, USA

Contract

Job Description: Works with users and leadership to develop and/or modify procedures because of workflow process changes related to EHR clinical and business application use. Effectively explains the functioning of the assigned EHR applications and related systems to the users. Assists users with using the full functionality of the applications. Prepares input for the requirements definition including user procedures, flowcharts and preliminary report and screen definition. Assists in the develo
Easy Apply
Posted 49 days ago | Updated 7 hours ago

Program Manager

Horizontal Talent

•

Minneapolis, Minnesota, USA

Contract

Key Skills/Strengths: Capable of big picture thinking, critical thinking, identification and proactive management of risk/issues, and decision making Demonstrates problem solving techniques and ability to escalate at the right time at the appropriate level Able to influence and communicate with stakeholders across all levels of the organization with strong verbal and written communication skills Demonstrates situational awareness and able to flex to different styles Experience managing proj
Easy Apply
Posted 7 days ago

Product Analyst

Horizontal Talent

•

Minneapolis, Minnesota, USA

Contract

We are seeking a dynamic Product Analyst Lead to join our team and drive the development of innovative solution products that deliver value to our customers. If you are experienced in Agile methodologies and thrive in collaborative environments, this role is perfect for you. Responsibilities Contribute to product roadmaps and design solutions through creative thinking. Outline system behaviors to define the scope of solutions. Analyze qualitative and quantitative data to identify opportunities.
Easy Apply
Posted 1 day ago

Technical Solution Architect

Horizontal Talent

•

Minneapolis, 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,
Easy Apply
Posted 6 days ago

Technical Lead

EPSoft Technologies LLC

•

Dallas, Texas, USA

Third Party

Role: Technical Lead Location: Dallas, TX Type: Contract Job Description: Major Skills: IBMi/AS400 Expertise: SYNON RPG (including Modern RPG and ILE) CL (Control Language) ALDON (Change Management System) RxClaim/PBM Knowledge: Proficiency in Pharmacy Benefit Management (PBM) Familiarity with RxClaim systems Key Qualifications: Preferred Technical Background: Cloud experience alongside IBMi/AS400 Domain Expertise: Healthcare domain knowledge Pharmacy Benefit Management (PBM) experience
Easy Apply
Posted 2 days ago

AWS Node.JS developer-Austin, TX-Only Locals

mProgen

•

Austin, Texas, USA

Contract

10 years of experience in application development Experienced in following technologies which are primary to this project: AWS services like Lambda, Node.JS, S3, Terraform, Kafka, PostgreSQL, Dynatrace, SQL and No-SQL databasesSecondary skills: Java, Spring boot, JPA, Hibernate, OpenShiftWork experience with Agile methodologies and scrum framework.Excellent understanding of SDLC processes.Good Analytical skills and attitude to learn new skillsProblem solving and troubleshooting skills Strong com
Easy Apply
Posted 1 day ago | Updated 18 hours ago

AI/ML Engineer

Kodeva LLC

•

Dallas, Texas, USA

Contract, Third Party

Job Title: AI/ML Engineer Location: Dallas, TX Onsite Employment Type: 12 months Contract Required Qualifications 7+ years of experience leading concurrent technical projects in both legacy platform and groundbreaking technologies5+ Years of lead experience in Cloud, Java applications with automation in testing3+ years of experience in AI/ML3+ years of application development experience of legacy technology. Preferred Qualifications 5+ Year of Healthcare ExperienceExperience in Cloud Native Tech
Easy Apply
Posted 6 days ago | Updated 6 days ago