PBM Jobs in Houston, TX

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PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

•

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 34 days ago | Updated 11 hours ago

PBM / RX Claims Test Analyst - Remote - Contract

Ztek Consulting

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Remote

Contract

Title: PBM / RX Claims Test Analyst Location: Remote Duration: Contract Top 3 skills required for this role? 1.PBM 2.Rxclaims 3.Manual Testing Job Description/ Responsibilities/ Years of experience- 4-5 years experience in Healthcare or a PBM desired. .NET C# experience as SDET Prioritize, manage multiple assignments, and direct the work of others to meet deadlines. Excellent communication (Verbal and Written) and collaboration skills. Superior organization, project management, and prioritiz
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Posted 8 hours ago

PBM Program Director -- W2 ONLY

nTech Solutions

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Remote

Contract

NO C2C NO C2C NO C2C NO C2C NO C2C NO C2C Title: PBM Program Director Location: 100% Remote (Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas.) Terms of Employment: W2 Contract-to-Hire, 12 Months This is a 100% remote position. Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas
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Posted 5 days ago

Financial Modeling Analyst PBM

Vega Consulting Solutions

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Remote

Third Party, Contract

Vega Consulting is staffing a Financial Modeling & Analyst PBM SME for our direct Healthcare client. We are seeking candidates with PBM experience. This is a specialized role requiring strong domain expertise to ensure our clients pharmacy supply chain delivers value and operates with financial integrity. This is a remote and contract to hire job opportunity. Candidates must be eligible for direct hire (no sponsorship). Prefer candidates that are located on the east Coast to support East Coast c
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Posted 5 days ago | Updated 3 hours ago

PBM Rebates Data Analyst

Techstra Solutions

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Remote

Full-time

Techstra Solutions is seeking a Business Data Analyst with deep expertise in Pharmacy Benefit Management (PBM) and rebates analytics to support a strategic BI/reporting transformation initiative. This high-impact role involves documenting requirements, inventorying BI assets, and supporting the migration to a next-gen BI platform all within an agile, cloud-first environment.Shape a major BI transformation initiativeWork in a world-class, healthcare analytics environmentHands-on exposure to moder
Posted 7 days ago | Updated 6 days ago

PBM Strategy and Implementation Consultant

TalTeam

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Remote

Contract

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, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness. Project Leadership & Accountability Manage business execution team, ensuring alignment of team efforts with goals, o
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Posted 36 days ago | Updated 2 hours ago

PBM Supply Chain & Contracts SME

nTech Solutions

•

Remote or Owings Mills, Maryland, USA

Contract

Terms of Employment: W2 Contract-to-Hire, 12 MonthsThis position is remote. Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas.Overview: This is a unique opportunity to get in on the ground floor of a major pharmacy transformation initiative. We are looking for a highly experienced Supply Chain and PBM Contract SME to develop the strategy and lead the negotiation of all contracts related to
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Posted 50 days ago | Updated 22 days ago

Business Analyst Specialty Pharma & PBM Experience

DVI Technologies, Inc.

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Remote

Contract

Job Title: Business Analyst Specialty Pharma & PBM Experience Location: Remote (Occasional Travel Required) Employment Type: W2 Contract Pay Rate: $50/hr Company: DVI Technologies Job Description: DVI Technologies is seeking a skilled Business Analyst with a strong background in Specialty Pharmacy systems and Pharmacy Benefit Management (PBM) to join our growing healthcare IT team. The ideal candidate will bring deep domain expertise in healthcare, particularly in specialty pharma operations and
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Posted 19 days ago

Product Owner - Pharmacy Benefit Management (PBM) - Healthcare/Pharmacy/Medical

FutureTech Consultants LLC

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Remote

Contract

Job Title: Technical Product Owner (TPO) - Pharmacy Benefit Management (PBM) Location: Remote (Preferred: EST or CST Time Zones USA) Contract: Long Term W2 Experience: 10+ Years Job Description:10+ years of experience as a Business Analyst, with 3+ years as a Technical Product Owner or similar role.Hands-on experience in Pharmacy Benefit Management (PBM) understanding of claims adjudication, benefit configuration, pharmacy network, rebates, and eligibility.Strong technical understanding of RE
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Posted 60+ days ago | Updated 4 hours ago

BRM/BenefitAnalystMedicareClaims(PBM/RxClaims)

Digitive LLC

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Remote

Contract

Position: BRM / Benefit Analyst Medicare Claims (PBM/RxClaims) Location: 100% Remote Duration: 12+ Months Contract (W2) Rate: $32/hr on W2 We are looking for an experienced BRM / Benefit Analyst with strong RxClaims and PBM domain expertise to join a fast-paced project in the healthcare space. Key Requirements: Hands-on experience with Rx Claims processingStrong understanding of PBM (Pharmacy Benefit Management)Excellent knowledge of ExcelProficient in creating Functional Specs, reviewing XMLs,
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Posted 10 hours ago

PBM Project Manager

York Solutions, LLC

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Remote or Minnesota, USA

Contract

Position Overview: These Sr PMs will support new client implementations. Must have strong PM skills (normal PM ask for managing scope, schedule, budget + RAID, stakeholder, communication, status, financial management through the project lifecycles). Project Overview: New Client Implementations Skills: Experience working with org change management will be helpful as one of the projects will impact a very large team and they will need active communication, training, buy-in, etc. Must be able to
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Posted 12 days ago | Updated 8 hours ago

PBM Data Engineer

CVS Health

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Remote or Scottsdale, 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 60+ days ago | Updated 3 hours ago

Rx-Claims Test Analyst

RiseIT Solutions

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Remote

Contract, Third Party

Company: iTech US, Inc. Job Title: Rx-Claims Test Analyst Location: Remote Job Responsibilities: Experience in Healthcare or a PBM desired..NET C# experience as SDETPrioritize, manage multiple assignments, and direct the work of others to meet deadlines.Excellent communication (Verbal and Written) and collaboration skills.Superior organization, project management, and prioritization skills.Courteous and professional demeaner with the desire and ability to work as a team.Ability to interact and
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Posted 8 days ago | Updated 9 hours ago

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)

Elite Technical

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Remote

Contract

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)Elite Technical is seeking a Financial Modeling & Analysis SME with specific knowledge around PBM Rebates and discount modeling! This role provides critical support for financial modeling and forecasting related to pharmacy programs. Responsibilities include: - Monitor and analyze market, clinical, legislative and regulatory data and events to assess the financial impact of proposed and ongoing pharmacy programs. - Support financia
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Posted 30 days ago

Financial Pharmacy Benefits Management

Vega Consulting Solutions

•

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 3 hours ago

IT Migration Data Analyst Support-GX

Param Consulting Services, Inc.

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US

Contract, Third Party

Required: Previous experience as a Business Systems Analyst Experience with Azure Data Factory Strong in SQL and SAS coding Experience working with data migration, migration planning and gap analysis Effective and persuasive presentation skills (verbal and written) for project teams and business leaders Experience with MS Office, strong with MS Excel PBM Background Strong technical knowledge and experience working in Software Development teams Proficiency in data profiling techniques, methodolog
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Posted 60+ days ago | Updated 3 hours ago

IT Migration Data Analyst Support

Hallmark Global Technologies

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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 7 hours ago

Remote - Kogito Developer

GRT Corporation

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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
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Posted 7 days ago | Updated 7 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 20 days ago

Program Manager - (Pharmacy Benefit Manager)

IT Trailblazers, LLC

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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
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Posted 5 days ago