PBM Jobs in Dallas, TX

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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 1 day ago

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
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Posted 60+ days ago | Updated 21 days ago

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
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Posted 60+ days ago | Updated 1 day ago

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
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Posted 60+ days ago | Updated 1 day ago

Software Development Engineer - AS/400 Application Developer (AS400/Synon)

CVS Health

•

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 12 days ago | Updated moments ago

Pharmacy Solutions Product Owner

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 54 days ago | Updated 8 hours ago

RxCLAIM SME

Helishores Inc

•

Remote

Contract, Third Party

Role: RxCLAIM SME Location: Remote Required: Minimum of 8+ years' experience in PBM operations, with direct involvement in plan design and configuration. Deep expertise in RxCLAIM or comparable adjudication systems. Familiarity with NCPDP standards and formulary management. Strong understanding of Commercial & Medicare benefit structures involving Formularies/Drug lists, Pharmacy Networks and Pricing (Client/Pharmacy) Excellent analytical and documentation skills, with ability to translate busin
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Posted 1 hour ago

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
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Posted 58 days ago | Updated 1 day ago

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
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Posted 8 days ago | Updated moments ago

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
Posted 7 days ago | Updated moments ago

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
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Posted 60+ days ago | Updated 17 days ago

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
Posted 59 days ago | Updated moments ago

Sr 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
Posted 1 day ago | Updated moments ago

Stars Reporting & Data Analytics

Randstad Digital

•

Remote or Minneapolis, Minnesota, USA

Contract

job summary: 100% TELECOMMUTE. We are seeking a dynamic Stars Reporting and Data Analytics team member to drive our Star strategy with a focus on Part D Star measures. This pivotal role demands expertise in Stars-related reporting and analytics including providing operational and analytical support. Collaboration with cross-functional teams and business segments is essential. location: Minneapolis, Minnesota job type: Contract salary: $40.00 - 48.75 per hour work hours: 8am to 5pm education
Posted 21 hours ago | Updated moments ago

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
Posted 12 days ago | Updated moments ago

Staff Full Stack Java Developer - myPBM

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
Posted 18 days ago | Updated moments ago

Microstrategy Analyst

Techstra Solutions

•

Remote

Full-time

Techstra is seeking a highly skilled Technical Data Analyst/Engineer with deep expertise in MicroStrategy and strong business strategy acumen. This hybrid role combines data engineering, analytics, and business intelligence to support strategic decision-making across the organization. The ideal candidate will be responsible for designing, developing, and maintaining scalable data solutions, dashboards, and analytical tools that empower teams with actionable insights. From the day you join, you w
Posted 17 days ago | Updated 16 days ago

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

Calance

•

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 9 hours ago

Software Engineering Senior Advisors- Hybrid

Cigna

•

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 20 days ago | Updated moments ago

Lead Director, Software Development Engineering - Rebates

CVS Health

•

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
Posted 12 days ago | Updated moments ago