healthcare Jobs in menlo park,ca

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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 1 day ago

Lead Data Scientist - Healthcare Delivery

CVS Health

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Remote

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
Posted 60+ days ago | Updated 2 hours ago

Case Manager

Idexcel Inc.

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Remote

Full-time

Job Title: Healthcare Consultant/ Case Manager Duration: 3+ Months Remote Job Description Position Summary Utilizes critical thinking and judgment to collaborate and inform the Case Management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Must have: Illinois resident who lives in/near one of the counties listed below and is interested in doing f
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Posted 6 days ago | Updated 3 days ago

Provider Enrollment/Case Analyst

Chags Health Information Technology LLC (C-HIT)

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Remote

Full-time

Job Description: C-HIT is seeking a Case Analyst - 2 to receive, process, and render written decisions in support of the Centers for Medicare & Medicaid Services (CMS) Appeals and Rebuttals provider enrollment administrative actions program. Position Duties: Understands and properly uses and interprets various federal policies, regulations, and systems in response to providers that are challenging provider enrollment administrative actions rendered by CMS.Manages case workflow through the ident
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Posted 2 days ago

Senior Workday Reporting Analyst | 100% Remote | C2C

Trebecon LLC

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Remote

Contract

Role: Senior Workday Reporting Analyst Location: 100% Remote Key Responsibilities:Partner with the Workday functional teams to develop, execute, and refine audit andcompliance reports to ensure data accuracy during and post go-live.Collaborate with HR, Payroll, and operational leadership to gather reportingrequirements and deliver insightful and actionable reports in Workday.Build and customize Workday reports (including advanced, matrix, composite, anddashboard reports) to support real-time d
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Posted 1 day ago

IBM Transformation Extender (ITX) Specialist

InfiCare Technologies

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Remote or US

Third Party, Contract

Job Title: IBM Transformation Extender (ITX) Specialist Location: Remote (work from home) Duration: 1+ year Contract Job Description As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interop
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Posted 9 days ago | Updated 2 hours ago

Care Management Support Coordinator II

Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Care Management Support Coordinator II . This is a 04+months contract opportunity with long-term potential and is located in U.S(Remote- EST). Please review the job description below and contact me ASAP if you are interested. Job ID:25-79189 Pay Range: $23 - $24/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Outreach members t
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Posted 9 days ago | Updated 9 days ago

Product Owner

Scigon Solutions

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US

Full-time

Product Owner Salary: $90,000-$120,000 Benefits include: Paid vacation, holiday and sick time Medical, dental, and vision insurance options 401(k)/profit sharing Summary of Responsibilities: Analyze market trends and customer behavior to drive feature development and product improvements. Support the development of customer journey maps and product innovation roadmaps. Collaborate closely with digital product managers, developers, and designers to implement product enhancements based on busine
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Posted 6 days ago | Updated 2 hours ago

Project Manager

NTT DATA Americas, Inc

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Remote or St. Louis, Missouri, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services a
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Posted 2 days ago | Updated moments ago

Care Management Support Coordinator II

Pyramid Consulting, Inc.

•

Remote

Contract

Immediate need for a talented Care Management Support Coordinator II. This is a 03+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-80065 Pay Range: $23 - $25/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Call Center making out
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Posted 1 day ago

Senior Lead Generative AI Engineer

Marencor

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Remote

Contract, Third Party

Skills healthcareHIPAA complianceRegulated AI systemAI/ML or LLM-based application developmentWe are seeking a Senior Generative AI Engineer with a passion for building intelligent, agentic systems that transform how consumers interact with healthcare. This role is ideal for hands-on, driven individuals who want to be at the forefront of AI innovation designing and deploying LLM-powered agents that provide dynamic, context-aware, and personalized chat experiences. As a Senior Engineer, you will
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Posted 7 hours ago

SAP ECC Transformation Specialist

Spiceorb

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Remote

Contract, Third Party

Hello, SpiceOrb is looking for SAP ECC Transformation Specialist Role: SAP ECC Transformation Specialist Location: Remote Duration: 12+ Months Contract Job Description: SAP full transformation is required of SAP ECC -SAP ECC was implemented in 2014; transferred from old ERP instead of utilizing best practices -5 years ago moved to SAP 4/HANA-it was lift and shift -End of life for SAP 4HANA is end of 2025 with end of 2026 extension Management is looking for transition from on prem to cloud: Full
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Posted 2 days ago | Updated 1 day ago

Senior Outcomes Specialist

E-Solutions, Inc.

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California, USA

Third Party

Job title: Senior Outcomes Specialist Location: Remote Mandatory Skills: SQL, SAS, R, or Python, Healthcare What's in it for you :- We are seeking a results-driven and analytical Senior Outcomes Specialist to support the Foundational Data Analytics (FDA) Program. This role will focus on measuring, analyzing, and improving clinical, operational, and financial outcomes across the enterprise. The ideal candidate will bring deep expertise in healthcare analytics, outcomes measurement, and perfor
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Posted 3 days ago | Updated moments ago

SAS Programmer / SAS Developer

Spar Information Systems

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US

Contract

Role: SAS Developer Location: Sacramento, CA / Remote Duration: 24+ Months (Multiyear project) Job Description: Key Skills: SAS, COBOL and any Business Intelligence tool Five (5) years' experience front-end data warehouse or similar processing which includes extracting data for large files from various sources. cleansing data. and preparing the data for loading into a data warehouse. Five (5) years' experience as an analyst-programmer performing various system development life cycle functions
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Posted 2 hours ago

Senior Workday Reporting Analyst :: Remote :: C2C

Trebecon LLC

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Remote

Contract, Third Party

Job Title: Workday Reporting Analyst Location: Remote Experience level: 12+ Department: HR Workforce Solutions Workday Service Delivery Team Reports To: HR Workforce Solutions: Workday Reporting Lead Position Summary: We are seeking an experienced Workday Reporting Analyst to join our Workday team during the critical go-live phase of our HR and Payroll implementation. The analyst will play a key role in supporting audit, compliance, and leadership reporting needs across a large, unionized
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Posted 1 day 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 20 days ago

Automation Test/QA Analyst

NTT DATA Americas, Inc

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Remote or St. Louis, Missouri, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing s
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Posted 1 day ago | Updated moments 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 1 day ago

Business Analyst

NTT DATA Americas, Inc

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Remote or Pittsburgh, Pennsylvania, USA

Contract

Company Overview: Req ID: 328701 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. NTT DATA's Client is currently seeking a Cybersecurity Business Analyst to join their team in Pittsburgh, Pennsylvania (US-PA), United States (US). (REMOTE)Job Description: Experience Level: 7-9 years of relevant experience Role Overview: The Business Analyst (BA) wil
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Posted 8 days ago | Updated moments ago

Business Data Governance Analyst

Spar Information Systems

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US

Third Party, Contract

Role: Business Data Governance Analyst Location: Remote Duration: 6+ Months Job description: We are seeking a Business Data Governance Analyst who serves as the critical bridge between business stakeholders and technical teams. This role requires someone who understands data concepts deeply and can translate business needs into clear, actionable specifications for technical implementation. You will play a key role in defining data governance requirements, facilitating cross-functional align
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Posted 2 days ago | Updated 2 hours ago