194 results (0 new)
Remote
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Yesterday
Medical Claims or Pharmacy claims or membership information. SQL Server and SQL writing Some recent experience with Data modeling & Data Warehousing (Any platform is ok, does not have to be snowflake) EDI transaction experience API integration into Data Warehouse with EDI 834 and 837. This is not a BA role
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Contract
$50+
Remote
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10d ago
Reports to: Chief Executive Officer Employment Type: Full-time Work Arrangement: Fully remote in USA only Compensation: $200,000$240,000 About the RoleWe are seeking a strategic Vice President of Pharmacy Benefit Management (PBM) to build and lead our in-house PBM. Reporting directly to the CEO, this leader will oversee the transition from outsourced PBM services to an internally managed model, establishing the processes, infrastructure, and team needed for long-term success. Initially, the ro
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Full-time
Depends on Experience
Remote
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24d ago
Duties The pharmacy technician supports the organizations mission and purpose by providing front-line customer support for a diverse portfolio of customers.This individual will be responsible for handling inbound telephone inquiries from members, pharmacies, and prescribers in our National Customer Care Center.Consistently meet established productivity, schedule adherence, and quality standards. Responsibilities Provide real-time support to pharmacies with point of service inquiries.Educate pres
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Contract
20 - 22
Remote
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Yesterday
What youll do Gather, analyze and translate pharmacy claims workflow requirements into Business Requirements Documents (BRDs), Functional System Specifications (FSDs) and user stories with clear acceptance criteria. Map transaction data fields across NCPDP Version F6 standards, including Eligibility Verification (E1), Claim Billing (B1), Claim Reversal (B2), Claim Rebill (B3) and Predetermination of Benefits (D1). Analyze field-level changes between NCPDP D.0 and F6, including: expanded field le
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Contract
Depends on Experience
Remote
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2d ago
Engagement Manager / Medical Officer / Medical Affairs focus Location: East coast Preferred Boston / NY / NJ - Nearby location Essential Functions Be Client face for all medical affairs / Pharma Analytics engagements Serve as the SME and main client point of contact for Medical Affairs project engagements and internal team lead Liaise with client leadership and project team to ensure project output includes strategically sound and actionable recommendations and answers client business ques
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Full-time, Third Party
Depends on Experience
Remote
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Today
Role: Professional Developer (NCPDP F6 Implementation Project) Location: Remote USA Duration: 3+ months (possibility of extension) Key Responsibilities Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support. Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable t
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Contract
45 - 50
Remote
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6d ago
Required Qualifications 15+ years of software quality assurance experience, including hands-on test design and execution. 5+ years of QA leadership or management experience. Strong experience supporting PBM claims processing systems. Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management. Ability to define and manage quality metrics, dashboards, and team performance indicators. Strong analytical, communication, stakeholder management, and proble
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Contract, Third Party
Depends on Experience
Remote
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Yesterday
We are seeking to hire a Advisor (Lead) Data Analyst with expertise in Medicare / Pharmacy Benefits Management systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid
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Full-time
Depends on Experience
Remote
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Today
Job Description Summary #LI-Remote This position can be based remotely anywhere in the U.S. (there may be some restrictions based on legal entity). Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager. This position will require 20% travel. Job description summary The Data Innovation, Partnerships and Products (DIPP) team sits within the Data Products and Foundatio
Full-time
USD 185,500.00 - 344,500.00 per year
Remote or Massachusetts
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Today
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty is looking for ha
Full-time
USD 106,605.00 - 260,590.00 per year
NTT DATA, Inc.
Remote or Frisco, Texas
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Today
About NTT DATA NTT DATA strives to hire exceptional, innovative, and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a professional to join our team in Frisco, Texas (US-TX), United States (US). Day to Day job Duties: (what this person will do on a daily/weekly basis) Provide L2/L3 application and operational support for pharmacy systems, ensuring high availability and t
Full-time
USD 45.00 - 55.00 per hour
NTT DATA, Inc.
Remote or Frisco, Texas
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Today
Req ID: 389976 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Pharmacy Application Support Engineer (L2 / L3 Support) - REMOTE to join our team in Frisco, Texas (US-TX), United States (US). Day to Day Responsibilities: Provide L2/L3 application and operational support for pharmacy systems, ensuring high availability a
Full-time
USD 78,948.00 - 120,615.00 per year
Remote or Mission, Kansas
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Today
Who is ScriptPro? Imagine working at a place where innovation meets impact, and every day brings new opportunities to revolutionize the pharmacy industry! At ScriptPro, you'll be part of a dynamic team that's at the cutting edge of technology, creating solutions that make a real difference in people's lives. ScriptPro develops, sells, and supports state of the art robotics and services in thousands of pharmacy settings around the United States and Canada. ScriptPro's Customer Service department
Full-time
USD 24.00 - 27.00 per hour
Remote or Mission, Kansas
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Today
Who is ScriptPro? Imagine working at a place where innovation meets impact, and every day brings new opportunities to revolutionize the pharmacy industry! At ScriptPro, you'll be part of a dynamic team that's at the cutting edge of technology, creating solutions that make a real difference in people's lives. ScriptPro develops, sells, and supports state of the art robotics and services in thousands of pharmacy settings around the United States and Canada. ScriptPro's Customer Service department
Full-time
USD 24.00 - 27.00 per hour
Remote
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24d ago
Shift Shift Schedule: Monday through Friday 10:00 AM to 6:30 PM with a possible Sat rotation if business needs dictate.The shift time may be subject to change based on business needs. Duties As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products.Determinations include medical necessity and benefit decisions.Decisions are made
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Contract
65 - 70
Remote
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Today
Job Title: Epic Application Analyst - Willow Inventory Hourly/Salary Compensation Range: up to $70/hr for meeting all required preferred skill sets Location: Remote; local candidates preferred for occasional onsite presence Hours: Day 5x8-Hour (08:00 - 17:00) Start Date: 9/14/26 through 9/14/27 Client Overview: The health care system is seeking support for an expedited Epic Willow Inventory implementation supporting inpatient pharmacy operations. The organization is transitioning its invent
Contract
$70.00 - $90.00
Remote
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6d ago
Senior Business Data / Mapping AnalystRole SummarySenior analysis role focused on source-to-target mapping, Medicaid/T-MSIS business rules, data profiling, and translating regulatory requirements into clear implementation specifications.Duration: 3+ Months IntiallyRoles & ResponsibilitiesCreate and maintain detailed source-to-target mappings for complex healthcare data transformations.Analyze source-system structures and identify the correct source fields for regulatory reporting requirements.Do
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Contract
Depends on Experience
Remote
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15d ago
Role: .NET HMI required- DB EXP. too Location: Fully Remote If they were in proximity to a specialty pharmacy that would be awesome: Chicago, Pittsburgh, Jersey, Vegas Duration: long term contract Start Date: ASAP Interview Process: 1 round .NETC#MariaDB (huge plus), Oracle database, and SQL server (all three would be great, but not critical)Interactions with Machinery Human Machine Interfaces interactionSoftware interacting with the machines in the pharmaciesOn Github currently
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Contract
Depends on Experience
Remote
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7d ago
Our Client, a Public University, is looking for an Epic Application System Analyst for their Ann Arbor, MI location. Responsibilities: FDB med load, cost updates, HCPCs updates, building and maintaining medication records, mixture records, CNR recipes, Dispense Prep recipes, medication lists.Support our daily operations (critical operations/Keeping The Lights On work) and will cover a mix of break/fix, enhancements, and projects. Requirements:Willow Inpatient certified2 years work experienceStr
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Contract
$50 - $53
Remote
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Today
Job Title: Senior Healthcare Solutions Architect Security & Compliance Experience: 8+ Years Domain: US Healthcare / Pharmacy / Pharmacy Benefit Management (PBM) Job Summary We are seeking an experienced Senior Healthcare Solutions Architect with 8+ years of experience delivering large-scale enterprise software solutions and cloud optimization projects. The ideal candidate will have a strong understanding of the US healthcare industry, preferably with experience in Pharmacy or Pharmacy Benefit Ma
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Contract
Depends on Experience
