21 - 40 of 57 Jobs

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

Remote - Kogito Developer

GRT Corporation

Remote

Contract

Job Title: Kogito Technical Lead / Senior Developer Location: Remote] Experience Required: 56+ years in Java development, 35+ years in Kogito BPM Education: Bachelors degree in Computer Science, Software Engineering, or a related field Job Summary: We are seeking an experienced Kogito Technical Lead / Senior Developer to join our engineering team. This role is responsible for designing, developing, and deploying cloud-native applications using the Kogito framework for process automation and deci

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

GRT Corporation

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

Program Manager - (Pharmacy Benefit Manager)

IT Trailblazers, LLC

Remote

Contract

Note : We need applicants to work on our W2, Contract or C2c is not workable !! Role: Program Manager Location: 100% remote, candidates MUST reside in DC, MD, VA, WV, PA, DE, NJ, NC, NY, FL, TX Duration: 12 months Job description Client is looking for a Director-level Program Manager to support a large-scale PBM (Pharmacy Benefit Manager) transition initiative. This resource will be responsible for leading and coordinating internal Client efforts across six (and eventually seven) workstreams. T

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

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

Pharmacy Network Oversite or Pharmacy Process Manager

Vega Consulting Solutions

Remote

Contract, Third Party

Vega Consulting Solutions, Inc. is hiring! We are staffing a Pharmacy (Healthcare) Process Manager for Network Oversite (or Process Manager) for a 18 month Contract to hire opportunity with our direct client. This position is 100% remote based. This role supports the oversight and optimization of pharmacy network operations.Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.Support credentialing, re-contracting, and termination proc

Senior Pega Developer || Sunnyvale, CA (Onsite)

Galactic Minds Inc.

California, USA

Third Party

Tittle: Senior Pega Developer Location: Sunnyvale, CA (Onsite) Need 10+ years of experienced Pega Resource who is hands-on, has leadership quality to take ownership of end-to-end delivery. Location is not limited to Bay Area. Pega PBM is the required skill with 10 years

QA Analyst - Remote

Digitive LLC

Remote

Contract, Third Party

Title:QA Analyst Location:Remote Pay Rate :$30/hr on C2C Term:Contract Client is only considering Ex-CVS consultants Job Title- Test Analyst Job Description/ Responsibilities/ Years of experience- 4-5 years experience in Healthcare or a PBM desired. .NET C# experience as SDET Experience with CVS client Prioritize, manage multiple assignments, and direct the work of others to meet deadlines. Excellent communication (Verbal and Written) and collaboration skills. Superior organization, projec

AS400 Developer

Kodeva LLC

Remote

Contract, Third Party

AS400 Developer Location : Remote 12 monthsContract Required Qualifications: A minimum of 7 years of experience with a deep understanding of AS/400 application development. At least 5 years of application development experience in RPG, RPGLE, and CL; Synon2/E (also known as COOL 2/E). 5+ years of experience with IBMi SQL. 5+ years of recent experience in a leadership role. Proficiency in IBM X-analysis, ALDON, and Hawkeye. Preferred Qualifications: Proven track record of successfully completin

Software Engineer/Developer--Synon/ COOL 2E - Remote

Data Wave Technologies Inc

New Jersey, USA

Full-time, Contract

Sr Software Engineer/Developer--Synon/ COOL 2E Remote Fulltime Required: Strong SYNON/COOL 2E coding skills Experience with RxCLAIM or Healthcare PBM applications 3 - 5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400 Strong troubleshooting skills, and diligence in the pursuit of issue resolutions. Code with a minimal amount of guidance and meet project deadlines. Maintain existing systems, document the current system flow and business logic, development of new sys

QA test manager

York Solutions, LLC

Remote

Contract

Position Overview: The main function of a QA Test Manager is to oversee & manage the development, implementation, and documentation activities, including test planning, test documentation, test execution, defect tracking and reporting, including follow-up and issue resolution Project Overview: New Client Implementations Day to day: a. Managing the testing for new client implementations b. Attending meetings to speak to testing progress, hindrances, etc. c. Managing testing task plans and timel

Program Manager

ALTA IT Services

00000

Full-time

Job Title: Program Manager (PBM) Location: Remote/OFFSITE - EST Type: 12 + month Contract - great chance of extensions and/or Contract to Hire Contractor Work Model: Remote but MUST be located in one of the following states: Maryland, Virginia, West Virginia, District of Columbia, North Carolina, Pennsylvania, Delaware, Florida, New York, New Jersey, or Texas. Position Overview: The Program Director, ePMO, exists within the ITOPS division aligned to a VP to provide the quality on-time executio

Java Full Stack Developer

Brains Technology Solution

Morris Plains, New Jersey, USA

Contract

Job Title: Java Full Stack Developer Job Location: Morris Plains, NJ (Hybrid - Onsite T, W, Th) Duration: Long term Visa: USC Key Technology: Java, Spring Framework, Kafka, ReactJS, PostgreSQL, AWS S3 Terraform, Dynatrace. Job Responsibilities: Work in an agile environment and participate in all agile ceremonies including PI planning, backlog refinement, daily standup, sprint reviews etc. Design and developer User interface and Java Spring boot application that involves technologies such as :

Pharmacy Business Analyst - Conversion & Prior Auth SME

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 Pharmacy Business Analyst - Conversion & Prior Auth SME at Gainwell, you can contribute your skills as we harness the powe

Pharmacy Sr Business Analyst - Claims & Configuration SME

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 Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po

Functional Test Manager- E2E Testing

Genesis10

Eagan, Minnesota, USA

Full-time

Genesis10 is currently seeking a QA Test Manager V for a contract role with our client in the healthcare industry in Eagan, MN. This role is 100% remote. Summary: The main function of a QA Test Manager is to oversee & manage the development, implementation, and documentation activities, including test planning, test documentation, test execution, defect tracking and reporting, including follow-up and issue resolution. Job Responsibilities: Execute test plans, scenarios, scripts or procedures T

Network Management - Senior Analyst

CVS Health

Arizona, 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

Synon Developer

Kollasoft Inc.

Remote

Contract

Skills and Experience Needed Required: Strong SYNON/COOL 2E coding skillsExperience with RxCLAIM or Healthcare PBM applications3-5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400Strong troubleshooting skills, and diligence in the pursuit of issue resolutions.Code with a minimal amount of guidance and meet project deadlines.Maintain existing systems, document the current system flow and business logic, development of new systems/solutions, and perform major enhancements to

Senior Automation Engineer

CVS Health

Remote or Northbrook, Illinois, 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

Staff Software Development Engineer

CVS Health

Remote or Buffalo Grove, Illinois, 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