business analyst with pbm experience Jobs

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PBM Business Integration Specialist (Pharmacist)Job Title - PBM Business Integration Specialist (Pharmacist)

Serenity Info Tech, Inc.Company Name - Serenity Info Tech, Inc.

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Raleigh, North Carolina, USA

Contract, Third Party

The Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to implementation of the new PBM, in collaboration with the existing pharmacy team. Knowledge of Medicaid Pharmacy Benefits Management processes, intended outcomes, and pain points is essential. This position will actively work with the Pharmacy Business team to define and provide the business support in completing the business process doc

VP, PBMJob Title - VP, PBM

Vaco by HighspringCompany Name - Vaco by Highspring

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Remote

Full-time

Hiring a VP of PBM for a startup healthcare client 100% remote in US only Duties/Responsibilities: Lead the development and launch of Companys in-house Pharmacy Benefit Manager (PBM), defining the vision, strategy, and roadmap to transition from external vendors to internal operations. Manage the strategic shift from outsourced PBM services, ensuring a seamless, cost-effective transition with minimal service disruption. Oversee core PBM functions: claims adjudication, pharmacy contracting,

Lead PBM Network Analyst/ManagementJob Title - Lead PBM Network Analyst/Management

Elite TechnicalCompany Name - Elite Technical

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Remote

Contract

Lead PBM Network Analyst/Management Job Title: Lead PBM Network Analyst/Management (Oversight of networks including specialty). This role supports the oversight and optimization of pharmacy network operations. Responsibilities include: - Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction. - Support credentialing, re-contracting, and termination processes across all network pharmacy providers. - Ensure alignment of network operation

Program Manager / Project Manager - PBM - Smartsheet - PPM ProJob Title - Program Manager / Project Manager - PBM - Smartsheet - PPM Pro

KE StaffingCompany Name - KE Staffing

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Remote

Contract

Candidate should have - PMP active certification, 4 year degree, Smartsheets, PPM Pro / PlanView or something similar.Program Manager Candidates with experience with Medicare and Medicaid in a PBM but health plan could possibly work. Attention to detail. Experience with executive sponsor management is important.Project Manager Project is an integration project to transform and migrate formulary data from the source system to the adjudication platform. Ideally would like someone with PBM backgro

PBM Strategy and Implementation ConsultantJob Title - PBM Strategy and Implementation Consultant

TalTeamCompany Name - 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

PBM Supply Chain & Contracts SMEJob Title - PBM Supply Chain & Contracts SME

nTech SolutionsCompany Name - nTech Solutions

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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

PBM Strategy and Implementation ConsultantJob Title - PBM Strategy and Implementation Consultant

Stellent IT LLCCompany Name - Stellent IT LLC

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Third Party, Contract

PBM Strategy and Implementation Consultant Remote(Onsite 2-3 time a MONTH-Washington, DC) Phone+Skype Long Term Contract JD: 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 exp

PBM Business Integration Specialist (Pharmacist)Job Title - PBM Business Integration Specialist (Pharmacist)

Sunrise Systems, Inc.Company Name - Sunrise Systems, Inc.

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Raleigh, North Carolina, USA

Contract

Job Title: PBM Business Integration Specialist (Pharmacist) Job ID: 25-08872 Location: Raleigh, NC Duration: 06 Months On Contract Job Summary: Client seeks a Pharmacist to serve as a Pharmacy Benefits Management (PBM) Business Integration Specialist for its Medicaid Enterprise System (MES) program. This role will focus on supporting the implementation of a modular PBM solution, working closely with internal Pharmacy teams and the PBM vendor. Key Responsibilities: Act as SME for Clinical poli

PBM Project ManagerJob Title - PBM Project Manager

York Solutions, LLCCompany Name - York Solutions, LLC

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Remote

Contract

Project Overview Responsibilities: This Sr PM will support a large strategic project team for Modifications of HIPAA NCPDP Retail Pharmacy Standards and Medicaid Pharmacy Subrogation and be part of the Core Project Team. A standard Sr. PM description is probably fine for general PM sills (normal PM ask for managing scope, schedule, budget + RAID, stakeholder, communication, status, financial management through the project lifecycles). The project team is just getting built and will look to bring

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Austin, 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

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

Pharmacy Benefits Management-PBM Network Process Manager-Fully Remote !!Job Title - Pharmacy Benefits Management-PBM Network Process Manager-Fully Remote !!

Elite TechnicalCompany Name - Elite Technical

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Remote

Contract

Our direct client , a major healthcare company, is seeking a Pharmacy Benefits Manager-PBM Network Process Manager for a long term contract, contract to hire engagement. This position fully remote however candidates MUST reside in the following states ONLY..Maryland, Virginia, West Virginia, North Carolina, Pennsylvania, Delaware, New York, New Jersey,T exas, Florida and Washington DC.. This is an operations oversite and management role where the business would like someone with a knowledge of p