pbm pharmacy benefit manager rxclaim Jobs

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Business and strategy of the PBM implementation / PHARMACY BENEFIT MANAGEMENT (PBM)

TalTeam

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. The Pharmacy Management team is in the process of implementing a new PBM system which will handle new vendors and su

Data Architect with a background on pharmacy benefit management (PBM)

Combined Computer Resources

Princeton, New Jersey, USA

Contract

We are seeking a Data Architect with deep expertise in healthcare and pharmacy benefit management (PBM) data systems, particularly those tied to government programs such as Medicaid and Medicare. You will lead the design and development of secure, scalable, and compliant cloud-based architectures that support analytics and applications across pharmaceutical, Medicaid, and Medicare domains. In this role, you ll collaborate with engineering, product, and compliance teams to ensure solutions meet f

Executive Pharmacy Benefits Manager

Vega Consulting Solutions

Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Pharmacy Benefits Management Professional for our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. Our Client is seeking a PBM Executive that has 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 mana

Project Manager (Cloud Platform)

Horizontal Talent

Minnesota, USA

Contract

Join our team as a Project Manager (Cloud Platform) and lead the charge in setting up cloud infrastructure to support seamless application migration. This role is an exciting opportunity to drive innovation and efficiency in a dynamic and collaborative environment. Responsibilities Lead programs to successful completion by setting and managing scope, schedule, budget, and quality. Develop and maintain a program roadmap and strategy to ensure effective execution and delivery. Communicate program

Program Manager - Pharmacy Benefits Management

Vega Consulting Solutions

Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Pharmacy Benefits Management Professional for our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and that live within a commutable distance to our client site located in Baltimore. 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, incl

Remote - Technical Product Manager [TPM]

GRT Corporation

Remote

Contract

Job Title: Technical Product Manager Location: Remote (U.S.) Position Type: Contract (12+ months) on W2 Compensation: $50-$65/hour on W2 Position Summary: The Technical Product Manager (TPM) drives the strategy, roadmap, and delivery of next-generation technology solutions. Partnering with engineering, design, and business stakeholders, you will translate market needs into scalable, secure, high-performance products overseeing everything from initial concept through deployment and ongoing optim

Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or 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

Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or 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

Claims Analyst - Remote US

Gainwell Technologies LLC

Remote or 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 Project Manager

York Solutions, LLC

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

Manager Service Delivery (Remote in US)

Gainwell Technologies LLC

Remote or Houston, Texas, 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. Summary As a Manager Service Delivery (Remote in US) at Gainwell, you can contribute your skills as we harness the power of technology

Manager Service Delivery (Remote in US)

Gainwell Technologies LLC

Remote or Dallas, Texas, 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. Summary As a Manager Service Delivery (Remote in US) at Gainwell, you can contribute your skills as we harness the power of technology

Manager Service Delivery (Remote in US)

Gainwell Technologies LLC

Remote or Austin, Texas, 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. Summary As a Manager Service Delivery (Remote in US) at Gainwell, you can contribute your skills as we harness the power of technology

Senior Analyst - Network Management - Work From Home

CVS Health

Arizona, 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

Network Strategy Analyst

CVS Health

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

Technical Product Owner (TPO) - Preferred Drug List (PDL)

Gainwell Technologies LLC

San Francisco, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Technical Product Owner (TPO) - Preferred Drug List (PDL)

Gainwell Technologies LLC

Los Angeles, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Technical Product Owner (TPO) - Preferred Drug List (PDL)

Gainwell Technologies LLC

San Diego, California, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Senior Full Stack Developer- Remote

Calance

Remote or New York, New York, USA

Full-time

Senior Full Stack Software Developer Position Responsibilities: Exercise leadership over all team products from design to production. Work with product managers and designers to refine requirements before implementation. Demonstrate technical leadership at a team level driving on time execution and software delivery. Represent software development team s products technically to stakeholders. Demonstrate ownership and responsibility for team products throughout their production lifecycles. Inter

Remote - 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 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 combine deep technical mastery in Angular 16+, Java, Spring Boot, and PostgreSQL with prove