PBM Jobs in Virginia

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PBM Strategy and Implementation Consultant

Next Gen IT Inc

Remote

Full-time

JOB TITLE: PBM Strategy and Implementation Consultant REMOTE Exp: 18+yrs Once perm on site 2-3 time a MONTH if not local cost will be covered. MUST HAVE: At least 1 PBM implementation from a hands-on perspective Must be an executive level person that works on Business side matrixed to IT and Vendors Must Understand the Financial Components, Operations, Network, Claims etc for a PBM Strong Leadership and executive presence Commercial PBM Experience (medicare and Medicaid are nice to have) This r

Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant

nTech Solutions

Remote

Contract

Title: Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant Terms of Employment W2 Contract-to-Hire, 6 months This position is primarily remote. The resource may be required to report to the office 2-3 times per month especially when the role converts. The office is located in Baltimore, MD. Overview Our client is seeking a PBM Strategy and Implementation Consultant. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy o

QA Functional Tester with PBM and Healthcare Domain Experience

iTeckSoft INC.

Remote

Contract

Note: iTeckSoft INC. will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship (H-1B, L-1B, L-1A, etc.). Introduction: We are seeking a skilled QA Functional Tester with extensive experience in Pharmacy Benefit Management (PBM) and the healthcare domain. The ideal candidate will be responsible for ensuring the quality and reliability of our healthcare applications, collaborating with cross-functional teams, and contributin

Data Analyst (with SQL, PBM Pricing, Python exp) - Remote CTH

Amtex System Inc.

Virginia, USA

Third Party, Contract

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 25 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. Need: Solid

PBM Strategy and Implementation Consultant

Fynbosys Inc

Remote

Full-time

Exp: 18+ years Need Non visa candidates MUST HAVE: At least 1 PBM implementation from a hands on perspective Must be an executive level person that works on Business side matrixed to IT and Vendors Must Understand the Financial Components, Operations, Network, Claims etc for a PBM Strong Leadership and executive presence Commercial PBM Experience (medicare and Medicaid are nice to have) This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy

Senior Manager, Software Development - Connected PBM

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

IT Migration Data Analyst Support

Hallmark Global Technologies

US

Third Party, Contract

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

Product Manager - Pharmacy App

NTT DATA Americas, Inc

Remote or New York, New York, USA

Contract

Job Description: Works with users and leadership to develop and/or modify procedures because of workflow process changes related to EHR clinical and business application use. Effectively explains the functioning of the assigned EHR applications and related systems to the users. Assists users with using the full functionality of the applications. Prepares input for the requirements definition including user procedures, flowcharts and preliminary report and screen definition. Assists in the develo

Program Manager w/ Pharmacy Benefit

SolutionIT, Inc.

US

Full-time, Third Party, Contract

Solution IT Inc. is looking for Program Manager w/ Pharmacy Benefit for one of its clients in Remote Job Title: Program Manager w/ Pharmacy Benefit Summary: We are seeking highly skilled Program Manager with deep expertise in pharmacy benefit programs to lead complex initiatives within our organization. This role will be instrumental in driving the planning, execution, and delivery of strategic projects related to pharmacy benefit management (PBM), formulary implementation, clinical program d

Process Analyst

York Solutions, LLC

Remote

Contract

Process Analysts to come in and support the cloud migration project. This role will be focused on evaluating the processes and procedures that will support the cloud migration. They will not be looking at individual apps. Will be looking and processes and creating a process/procedure library. Create value stream maps to identify best future processes. . Will also work on As-Is/To-Be diagrams, gap analysis and ways to increase efficiency. The overall goal is to streamline and refine the process/

Process Analyst - Cloud Migration

York Solutions, LLC

Remote

Contract

This role will be focused on evaluating the processes and procedures that will support the cloud migration. They will not be looking at individual apps. Will be looking and processes and creating a process/procedure library. Create value stream maps to identify best future processes. . Will also work on As-Is/To-Be diagrams, gap analysis and ways to increase efficiency. The overall goal is to streamline and refine the process/procedures required to move these applications Experience working in t

Senior Network Pricing Analyst

UnitedHealth Group

Remote or Ashburn, Virginia, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv

Principal Architect - Solution Engineering and Automation

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

Business Analytics Senior Advisor

Randstad Digital

Remote or Hartford, Connecticut, USA

Contract

job summary: Enterprise Healthcare client has an immediate opening for a highly motivated Business Analytics Senior Advisor to join their dynamic and growing team. All qualified candidates are encouraged to apply! location: Hartford, Connecticut job type: Contract salary: $49.00 - 56.50 per hour work hours: 8am to 5pm education: Bachelors responsibilities: Provides counsel and advice to top management on significant Business Analytics matters, often requiring coordination between organiz

Principal Architect - Solution Engineering and Automation

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

Lead Full Stack Engineer [Angular, Java, Google Cloud Platform]

GRT Corporation

Remote

Contract

Job Title: Full Stack Engineering Lead [Java, Spring Boot, Angular 16+, Google Cloud Platform] Location: United States - Remote/Hybrid options available (onshore lead; regular overlap with offshore pods required) Duration: Contract (12-15 months, potential extension) PositionSummary: A GRT Client is seeking an accomplished Full Stack Engineering Lead to steer multiple onshore/offshore pods through the full software development lifecycle of large scale, cloud native applications. You will combin

Lead Director, Technology - Underwriting & Finance

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

Solution Architect

Holistic-Partners

US

Contract

Top Skills - Must Haves Solution architecture Top Skills' Details 1.) 8+ years of solution architect experience - specifically focusing migrating on-prem applications to the cloud. 2.) Experience creating and helping lead application patterns to be used in cloud - industry expertise for best practice 3.) CI/CD and IaC experience is a MUST Job Description Prime is engaged in an exciting Cloud Transformation Program which will migrate Prime on-premises applications to the cloud to improve sca

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

Software Engineer Advisors - Hybrid

Cigna

Remote or Austin, Texas, USA

Full-time

The job profile for this position is Software Engineering Advisor which is a Band 4 Career Track Role with Cigna-Evernorth Services, Inc. Serve as Subject Matter Expert on complex engineering projects. Design and develop consolidated, conformed enterprise data warehouse and data lake to store all critical data across Customer, Provider, Claims, Client and Benefits data. Design, develop and implement methods, processes, tools and analyses to sift through data stored in data warehouse/data mart to