pbm Jobs

1 - 20 of 60 Jobs

Technical Product Owner Preferred Drug List (PDL) / Pharmacy Benefits Management (PBM)Job Title - Technical Product Owner Preferred Drug List (PDL) / Pharmacy Benefits Management (PBM)

cloudingest incCompany Name - cloudingest inc

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Remote

Contract

Technical Product Owner Preferred Drug List (PDL) / Pharmacy Benefits Management (PBM)No. of positions: 1Client Location: Onshore, USMode of work: Remote-first with flexibility for in-office collaboration, Occasional evening and weekend work.Work Time Zone: EST or CST Job Summary: We are looking for a results-driven Technical Product Owner (TPO) with strong healthcare domain expertise and a hands-on technical background to lead the development of Preferred Drug List (PDL) solutions. This role de

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

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,

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

Business Analyst Specialty Pharma & PBM ExperienceJob Title - Business Analyst Specialty Pharma & PBM Experience

DVI Technologies, Inc.Company Name - 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

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

Medicare Data Lead Analyst, PBM Analytics and ReportingJob Title - Medicare Data Lead Analyst, PBM Analytics and Reporting

ConsultNet, LLCCompany Name - ConsultNet, LLC

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North Kingstown, Rhode Island, USA

Full-time

PURPOSE: The Medicare Data Lead Analyst will be responsible for analyzing and interpreting healthcare data related to Medicare programs, specifically focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will partner with key business stakeho

Sr. Data Scientist - Finance Analytics / Optimization / PBM AnalyticsJob Title - Sr. Data Scientist - Finance Analytics / Optimization / PBM Analytics

CVS HealthCompany Name - CVS Health

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Remote or Chicago, 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

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

V-Soft Consulting Group, IncCompany Name - V-Soft Consulting Group, Inc

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Raleigh, North Carolina, USA

Contract

PBM Business Integration Specialist (Pharmacist) Primary Location: Raleigh, North Carolina V-Soft Consulting is currently hiring for a PBM Business Integration Specialist (Pharmacist) for our premier client in Raleigh, North Carolina. WHAT YOULL NEED: Technical Requirements and Certifications Registered Pharmacist with a valid (active) and unrestricted Pharmacist license: 3 Years. Education and Experience Graduation from an accredited School of Pharmacy, B.S. or Doctor of Pharmacy degree. Pr

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

V-Soft Consulting Group, IncCompany Name - V-Soft Consulting Group, Inc

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Raleigh, North Carolina, USA

Contract

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

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

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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Austin, Texas, USA

Full-time

Lead Director - PBM, Software Development EngineeringJob Title - Lead Director - PBM, Software Development Engineering

CVS HealthCompany Name - CVS Health

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Florida, USA

Full-time

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

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)Job Title - Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)

Elite TechnicalCompany Name - Elite Technical

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Remote

Contract

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)Elite Technical is seeking a Financial Modeling & Analysis SME with specific knowledge around PBM Rebates and discount modeling! This role provides critical support for financial modeling and forecasting related to pharmacy programs. Responsibilities include: - Monitor and analyze market, clinical, legislative and regulatory data and events to assess the financial impact of proposed and ongoing pharmacy programs. - Support financia

Financial Pharmacy Benefits ManagementJob Title - Financial Pharmacy Benefits Management

Vega Consulting SolutionsCompany Name - Vega Consulting Solutions

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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

IT Migration Data Analyst Support-GXJob Title - IT Migration Data Analyst Support-GX

Param Consulting Services, Inc.Company Name - Param Consulting Services, Inc.

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Contract, Third Party

Required: Previous experience as a Business Systems Analyst Experience with Azure Data Factory Strong in SQL and SAS coding Experience working with data migration, migration planning and gap analysis Effective and persuasive presentation skills (verbal and written) for project teams and business leaders Experience with MS Office, strong with MS Excel PBM Background Strong technical knowledge and experience working in Software Development teams Proficiency in data profiling techniques, methodolog

Pharmacy Benefit ManagementJob Title - Pharmacy Benefit Management

Edge GlobalCompany Name - Edge Global

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Louisville, Kentucky, USA

Third Party, Contract

Role: PBM Specialist Location: Louisville, KY or Nashville, TN Job Type: Contract About the Role: We are seeking a Technical Director with deep expertise in Pharmacy and Pharmacy Benefit Management (PBM) domains to lead technical strategy and execution for our data modernization initiatives. This individual will play a key leadership role in designing scalable data solutions, managing technical teams, and collaborating with stakeholders to drive business outcomes. Key Responsibilities: Lead