Remote
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17d ago
BA II Must have experience with PBM.Candidates with NCPDP (National Council of Prescription Drugs Program - F6 experience would be a plusHIPAA knowledge required
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Contract
$50+
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PBM jobs in Dallas, TX, USA
47 results (0 new)
Remote
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4d ago
Job Title: Business Analyst Location: Hybrid / Remote Duration: 6 Months (Possible for extension) Job Description We are seeking an experienced Business Analyst with strong knowledge of Pharmacy, PBM , and Healthcare systems. The ideal candidate will work closely with business stakeholders, product owners, and technical teams to gather, analyze, and translate requirements into actionable solutions that improve healthcare operations, pharmacy workflows, and PBM processes. Key Responsibilities Co
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Contract
$50 - $55
Remote
•
Yesterday
We are seeking a highly motivated Product Owner with strong experience in pharmacy, PBM, or specialty pharmacy products. The ideal candidate will work closely with stakeholders, business teams, and engineering to define, prioritize, and deliver innovative healthcare technology solutions that enhance patient outcomes, optimize pharmacy workflows, and support value-based care initiatives. Key Responsibilities Act as the primary liaison between business stakeholders, pharmacy operations, PBM clien
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Contract
Depends on Experience
Remote
•
Yesterday
Urgently looking to hire Business Analyst- Fulltime or Contract About the Role We are seeking an experienced Business Analyst with a strong background in pharmacy operations or pharmacy benefit management (PBM), or specialty pharmacy products. The Business Analyst will play a critical role in bridging business needs with technical solutions, ensuring that systems and processes align with regulatory requirements and support patient-centered pharmacy services. Key Responsibilities Partner with bus
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Full-time
Depends on Experience
Remote or Hybrid
•
Today
Position Overview: Looking for a Product Manager to help drive work for the Integration Project. 8 - 10 yrs of experience needed in the following skills: organization, systems analysis, program management, product ownership, scrum master, Data Analytics/ writing queries, complex problem solving, driving delivery, project management, IT, vendor management, Additional skills: Member Experience/ Digital Day to day tasks: i. Collaborate to deliver the integration project ii. Specifically working wi
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Contract
$60-$80
Remote
•
Yesterday
Job Title: SYNON Developer Location: Remote Duration: Long term Tax Term: W2 Required: Strong SYNON/COOL 2E coding skills. Experience with RxCLAIM or Healthcare PBM application. 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, developme
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Contract, Third Party
Remote or Nashville, Tennessee
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Yesterday
Job Title Interoperability Consultant Job Location Remote Duration- 6+ Months Experience level- 10+ years Mandatory Skills Payers, PBM, HIPAA, Client Interaction Job Description Interact with Payers Good understanding of HIPAA, CMS, ONC Good understanding PBM & Payer Experienced consultants who have below areas of competency: 1. Deep knowledge of healthcare interoperability regulations (HIPAA, CMS, ONC). 2. Translate compliance requirements into technology solutions (e.g., HIPAA, CMS, O
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Part-time, Contract, Third Party
Remote or New York, New York
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Yesterday
Job Title: Interoperability Consultant Location: Remote Job Description: Experienced consultants who have below areas of competency: Deep knowledge of healthcare interoperability regulations (HIPAA, CMS, ONC). Translate compliance requirements into technology solutions (e.g., HIPAA, CMS, ONC, FHIR standards). Confirm and identify the technical solutions required for Prime. Participate in co-discovery sessions with our clients, conveying our approach and building clarity of the PBM's role. Best
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Contract, Third Party
Remote or Hybrid in Pennsylvania
•
Yesterday
We are seeking an experienced Business Analyst with strong knowledge of Pharmacy, PBM , and Healthcare systems. The ideal candidate will work closely with business stakeholders, product owners, and technical teams to gather, analyze, and translate requirements into actionable solutions that improve healthcare operations, pharmacy workflows, and PBM processes. Key Responsibilities: Collaborate with business stakeholders to gather and document requirements related to pharmacy services, PBM workflo
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Contract, Third Party
Depends on Experience
Remote or Hybrid in Bloomfield, Connecticut
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17d ago
Job Title: Lead AI Architect Healthcare & Cloud Platforms Location: Bloomfield CT - Hybrid Experience Level: 13+ years Role Overview: We are seeking a highly experienced Lead Architect to drive enterprise-grade cloud Generative AI Platform initiatives in the Healthcare Payer and PBM (Pharmacy Benefit Management) space. This role demands a unique combination of technical leadership, domain knowledge, and client-facing communication skills. You will be instrumental in architecting and driving impl
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Contract
Depends on Experience
Remote
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Yesterday
Position: Senior SQL Developer Location: Pittsburgh, PA (Remote) Duration: Long-Term Project Domain: Healthcare Position Overview: Senior SQL Developer to join our healthcare data engineering team. The candidate will play a key role in developing, optimizing, and maintaining SQL-based solutions supporting clinical, pharmacy, and operational systems. Key Responsibilities Develop, optimize, and maintain complex SQL Server stored procedures, functions, triggers, and views. Design and develop effi
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Contract
$55 - $60
Remote
•
Yesterday
Role: Healthcare Interoperability Consultant Location: Remote Duration : Long term Job Description:- Experienced consultants who have below areas of competency: Deep knowledge of healthcare interoperability regulations (HIPAA, CMS, ONC).Translate compliance requirements into technology solutions (e.g., HIPAA, CMS, ONC, FHIR standards)
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Contract
Depends on Experience
Remote
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2d ago
Title/Role: MES PBM Business Integration Specialist (Pharmacist) Worksite Address: Raleigh, NC - Remote Client seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the Medicaid Enterprise System (MES) project. The PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise and business support to the Pharm
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Contract
$55 - $60
Remote or Richardson, Texas
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Today
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
Full-time
USD 92,700.00 - 203,940.00 per year
Remote or Jersey City, New Jersey
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Yesterday
NAVA Software solutions is looking for SYNON Developer Details: SYNON Developer - 6 positions Location: Remote Duration: 12 months We are seeking a skilled developer with 3-5 years of experience in SYNON/COOL 2E, COBOL400, CL/400, and DB2/400 to join our team. If you have a background in RxCLAIM or Healthcare PBM applications and excel in troubleshooting, system maintenance, and developing innovative solutions, this position could be ideal for you. Key Skills: Proficient in SYNON/COOL 2E codin
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Contract, Third Party
Remote
•
Today
Remote in US Job Responsibilities: Work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to Claim Processing logic and integration with downstream applications. Skills and Experience Required: 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 amo
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Full-time, Contract, Third Party
Remote
•
8d ago
Hi, Please find the job description below Role: Synon Developer Location: Remote From prototype to real-world impact - be part of a global shift by doing work that matters. Job Description - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to Claim Processing logic and integration with downstream applications. Qualifications Required: - Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthca
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Full-time
Depends on Experience
Remote
•
8d ago
Hi, Please find the job description below Role: Synon Developer Location: Remote From prototype to real-world impact - be part of a global shift by doing work that matters. Job Description - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to Claim Processing logic and integration with downstream applications. Qualifications Required: - Strong SYNON/COOL 2E coding skills - Experience with RxCLAIM or Healthca
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Full-time
Depends on Experience
Remote
•
4d ago
Role: SYNON/COOL 2ELocation: Remote Job Description Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to Claim Processing logic and integration with downstream applications. Qualifications Required: Strong SYNON/COOL 2E coding skillsExperience with RxCLAIM or Healthcare PBM applicationExperience with Benefit Plan and Core Adjudication in RxCLAIM3 - 5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400Strong troubleshooting skills, an
Easy Apply
Contract
Depends on Experience