business analyst with pbm experience Jobs

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Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

SanKar Inc

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Remote

Contract

Position: - Sr. Business Analyst (PBM Domain and RxCLAIM experience)Location: - RemoteType: - Contract Job Description Perform comprehensive business analysis including requirement elicitation, stakeholder interviews, and gap analysis.Create detailed Business Process Maps (BPMs) and flow diagrams to visualize current and future-state workflows.Work closely with solution architects, QA teams, developers, and business users to ensure proper interpretation of Business processes.Use SQL to query da
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Posted 3 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 24 days 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 10 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 10 days ago | Updated 5 days 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 5 days ago

PBM Analyst - Pharmacy Benefits Management - data analytics

KE Staffing

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Remote

Full-time

2+years of pharmacy benefits management (PBM) experience in data analytics. Prior experience with formulary coding options and pharmacy network configuration, claims adjudication experience (preferred).SQL experience
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Posted 4 days 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 12 days ago | Updated 11 days ago

Senior Project Manager - PBM Transformation & Systems Implementation

Lumen Solutions Group Inc.

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Washington, District of Columbia, USA

Contract

Role: Senior Project Manager - PBM Transformation & Systems Implementation Location: 100% Remote Type: 12-Month Contract-to-Hire (C2H) Job Summary: Company is seeking an experienced Project Manager to manage a multi-year, enterprise-wide PBM transition program. This role will drive the replacement of our current PBM vendor and oversee related IT and business transformations, including the migration to Facets G6 and integration of complex API solutions. The role has a high degree of visibility an
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Posted 11 days ago | Updated 9 hours 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 5 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 41 days ago | Updated 5 days ago

PBM Supply Chain & Contracts SME

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
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Posted 55 days ago | Updated 27 days ago

Financial Planning Analyst (PBM Supply Chain) -Fully Remote

Elite Technical

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Remote

Contract, Third Party

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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Posted 4 days ago | Updated 4 days ago

PBM Program Director

Vega Consulting Solutions

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Baltimore, Maryland, USA

Contract

Vega Consulting Solutions is hiring! a PBM Program Director (or Program Manager) for our direct client. This is a Hybrid based, Director level Job opportunity. The Program Director, ePMO, exists within the ITOPS division aligned to a VP to provide the quality on-time execution of highly complex, multiple project(s) and/or program(s) related to new and optimized business capabilities. The selected candidate will be responsible for both strategic and tactical interface with senior level manageme
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Posted 10 days ago | Updated 5 days 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 17 days ago | Updated 21 hours ago

PBM Communications Specialist

nTech Solutions

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Remote

Contract

Must-Have: Must have a Laptop/computer with internet to work from home. Comfortable providing a Photo ID Copy Terms of Employment: W2 Contract-to-Hire, 12 Months This 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: We are seeking a PBM Communications Specialist for a leading managed care organization to ensure all pharmacy-related communications are accurate
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Posted 54 days ago | Updated 4 days ago

Principal, PBM Operations Business Process Engineering

Gainwell Technologies LLC

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Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Your role in our mission Primary point of contact for the Pharmacy Clinical Operations organization, operational and process excellence
Posted 5 days ago | Updated 11 hours ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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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 40 days ago | Updated 11 hours ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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Dallas, 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 40 days ago | Updated 11 hours ago

PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

•

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