PBM jobs in New Jersey

Remote

•

5d ago

Our direct client, a major healthcare insurance company is seeking a PBM focused Business Analyst, with specific expertise in healthcare eligibility, benefits and integrated accumulators to support our client with a PBM implementation and operations effort. The selected candidate will assist our client with data centric projects, and interact with their SME-s to ensure requirements are gathered and met. The selected candidate will have the responsibility to ensure that the business's need for c

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Third Party, Contract

$48 - $58

CVS: BA/DA (Pharma, PBM, MicroStrategy)

Remote

•

11d ago

About the Role: From the day you join, you will hit the ground running surrounded by amazing people! As a Business Data Analyst, you will have an opportunity to shape a major BI transformation focused on PBM Rebates. You will join a world-class organization at the forefront of healthcare analytics working with cloud-based BI technologies and a state-of-the-art platform. You will work in an Agile, collaborative environment driving quick, sustainable change contributing to a core product verti

Full-time

Depends on Experience

Financial Modeling Analyst PBM

Remote

•

17d ago

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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Third Party, Contract

Depends on Experience

Test Analyst with PBM & Rx Claims

Remote

•

5d ago

Hi, I would like to share an excellent opening Contact Test Analyst with PBM & Rx Claims do go through the details and kindly send me the updated resume. Location : Remote Type of Hire : Contract Mode of interview : WebEx / Teams 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 Writ

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Contract, Third Party

Depends on Experience

PBM integration consultant

Remote or Hybrid

•

Today

Summary We are seeking two experienced Business Integration Principals to support the implementation of a large national health plan client. These individuals will each own a high-level workstream composed of approximately 10 sub-tracks (e.g., adjudication, operations, etc.), and be responsible for driving deliverables, facilitating internal and external coordination, and maintaining client confidence through proactive issue management and executive communication. This role is ideal for a senior

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Contract

$50-$80

PBM Rebates Data Analyst

Remote

•

11d ago

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

Full-time

Depends on Experience

Financial Planning Analyst (PBM Supply Chain) -Fully Remote

Remote

•

30+d ago

Candidates must have PBM ( Pharmacy Benefits Management) experience this means they must have worked at PBM companies such as Walgreens, CVS etc. Third parties-absolutely no phone calls please Candidates must be willing to go direct after one year without a sponsor. Must reside in an approved state. Location: 100% remote, approved states only. DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. Our direct client is seeking a Financial Planning Analyst (PBM Supply Chain) for a long term engagement. Edu

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Contract, Third Party

$67 - $80

Senior AS400 Developer (RPG/COBOL development - PBM RxClaim)- 100% Remote

Remote

•

Yesterday

Hi We are seeking a highly skilled Senior AS400 Developer with strong expertise in Healthcare (PBM / RxClaim) applications, RPG/COBOL development, and EDI 834/837 file processing. The candidate will play a key role in claims adjudication, eligibility, and benefits management systems, ensuring accuracy, compliance, and high performance in a regulated healthcare environment. Key Responsibilities:Design, develop, and enhance AS400/iSeries applications using RPG, RPGLE, COBOL/400, CLLE, and SQL/400.

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Contract, Third Party

Depends on Experience

PBM Network Management SME

Remote

•

22d ago

Terms of Employment: W2 Contract-to-Hire, 12 MonthsThis position is remote.Overview: Join a leading managed care organization and take charge of our pharmacy network operations. In this crucial role, you will oversee our relationships with various pharmacy network partners (retail, mail, specialty) to ensure they meet contractual, regulatory, and service-level standards. This is a non-technical, operational management position focused on performance, compliance, and optimization. You will Manage

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Contract

$45

QA Tester

Remote

•

8d ago

QA Tester Irving, TX (Remote Role) 12+ Months Contract Position Type-W2 Only Exp Level- 6+Years Req Skills- PBM, Rx Claims, Manual Testing, Healthcare What are the top 3 skills required for this role? PBMRx ClaimsManual Testing

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Contract

Depends on Experience

Network Pricing Operations Analyst - Remote

Remote

•

11d ago

Title: Network Pricing Operations Analyst - Remote Mandatory skills: healthcare, PBM, claims, claims auditing, audit fundamentals, data analysis, prepare, catalog, electronically store information, QA, QC, MS Office Suite, Excel, Outlook, Teams, Word Description: Must be well organized and able to accurately prepare, catalog and electronically store information. Strong communication skills, QA/QC experience This assignment is to provide operational project support to assess different informati

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Contract

$35.83 - $40.83

Remote - Kogito Developer

Remote

•

11d ago

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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Contract

Depends on Experience

Healthcare Data Engineer with(ETL tool) Matillion Exp

Hybrid in Princeton, New Jersey

•

26d ago

Position Overview: We are looking for an experienced Data Engineer with a strong foundation in data engineering best practices and experience with modern data warehousing and ETL platforms. The ideal candidate will have at least 5 years of hands-on experience, preferably with Snowflake, SQL Server, AWS and Matillion ETL, to build, optimize, and maintain data pipelines and data integration solutions. This role involves working closely with cross functional teams to support data-driven initiatives

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Contract

Depends on Experience

Test Analyst

Remote

•

5d ago

Role: Test Analyst Location: Remote Experience: 4 Years Need Ex-CVS Consultants only 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 prioritization skills. Courteous and professional demeaner with the de

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Contract, Third Party

Depends on Experience

Test Analyst (remote)

Remote

•

5d ago

Test Analyst Location- Remote Duration- 6 months Pay Rate - 26-27/hr on W2 The business prefers candidates who have previoulsy worked for CVS. 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 priorit

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Contract

Depends on Experience

AS400/Rx Claim Production Support Analyst (Remote)

Remote

•

5d ago

AS400/Rx Claim Production Support Analyst Work Location: Remote Term: Contract Job Title- AS400/Rx Claim Production Support Analyst Job Description/ Responsibilities/ Years of experience- 6+ years of experience in AS400 + Synon + Rx Claim STRONG Synon coding skills Experience in Rx CLAIM PBM application ( Adjudication ) is STRONGLY PREFFERRED. Must have real work experience in Healthcare domain. Should be able to read COBOL/400 code for analysis and debugging. CLLE, CL/400, SQL/400 , QUERY/400 k

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Contract, Third Party

Depends on Experience

AS400/Rx Claim Production Support Analyst

Remote

•

3d ago

Remote Role AS400/Rx Claim Production Support Analyst Phoenix, AZ (Remote Role) 12+Months Contract Position Type-C2C/W2 Exp Level- 6+Years Req Skills- AS400/Rx Claim Production Support, Synon, Rx Claim (Claim Adjudication), COBOL/400 What are the top 3 skills required for this role? SynonRx Claim (Claim Adjudication)COBOL/400 Job Description 6+ years of experience in AS400 + Synon + Rx ClaimSTRONG Synon coding skillsExperience in Rx CLAIM PBM application ( Adjudication ) is STRONGLYPREFFERRED M

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Third Party, Contract

Depends on Experience

AS400 Developer

Remote

•

Yesterday

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

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Third Party, Contract

$50 - $60

AS400 Technical Lead

Remote

•

10d ago

AS400 Technical Lead Location : Dallas, Texas (Remote Is fine) Full Time Opportunity/ Contract AS400 Technical Lead with extensive experience in architecting, designing, and developing in IBMi (AS400). 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 experien

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Contract, Third Party

Depends on Experience

AS400/Rx Claim Production Support Analyst

Remote

•

2d ago

Trident Consulting is looking for a - AS400/Rx Claim Production Support Analyst @ Remote for one of our clients. Job Title- AS400/Rx Claim Production Support Analyst 6+ years of experience in AS400 + Synon + Rx Claim STRONG Synon coding skills Experience in Rx CLAIM PBM application ( Adjudication ) is STRONGLY PREFFERRED. Must have real work experience in Healthcare domain. Should be able to read COBOL/400 code for analysis and debugging. CLLE, CL/400, SQL/400 , QUERY/400 knowledge required. Wh

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Third Party, Contract

$50 - $55

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PBM jobs in New Jersey, USA