pbm Jobs

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PBM Strategy and Implementation Consultant

Next Gen IT Inc

•

Remote

Full-time

JOB TITLE: PBM Strategy and Implementation Consultant REMOTE Exp: 18+yrs Once perm on site 2-3 time a MONTH if not local cost will be covered. MUST HAVE: 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 r
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Posted 7 hours ago | Updated 7 hours ago

Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant

nTech Solutions

•

Remote

Contract

Title: Pharmacy Benefit Management (PBM) Strategy & Implementation Consultant Terms of Employment W2 Contract-to-Hire, 6 months This position is primarily remote. The resource may be required to report to the office 2-3 times per month especially when the role converts. The office is located in Baltimore, MD. Overview Our client is seeking a PBM Strategy and Implementation Consultant. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy o
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Posted 12 hours ago | Updated 12 hours ago

PBM Strategic Manager

Vega Consulting Solutions

•

Baltimore, Maryland, USA

Contract, Third Party

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, i
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Posted 7 hours ago | Updated 6 hours ago

QA Functional Tester with PBM and Healthcare Domain Experience

iTeckSoft INC.

•

Remote

Contract

Note: iTeckSoft INC. will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship (H-1B, L-1B, L-1A, etc.). Introduction: We are seeking a skilled QA Functional Tester with extensive experience in Pharmacy Benefit Management (PBM) and the healthcare domain. The ideal candidate will be responsible for ensuring the quality and reliability of our healthcare applications, collaborating with cross-functional teams, and contributin
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Posted 26 days ago

Data Analyst (with SQL, PBM Pricing, Python exp) - Remote CTH

Amtex System Inc.

•

Virginia, USA

Contract, Third Party

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 25 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. Need: Solid
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Posted 60+ days ago | Updated 11 hours ago

PBM Operational Accountant

ConsultNet, LLC

•

North Kingstown, Rhode Island, USA

Full-time

The Senior Financial Specialist, PBM Operations will assist the senior manager in driving an accurate and efficient Month-End Close for assigned responsibilities and serves as a subject matter expert in Medicare Part D financial operations. This position is responsible for managing financial reconciliations, implementing financial controls, forecasting, reporting, and overseeing CMS and client payments for the Medicare Part D EGWP product and Medicare Part D health plan clients. The primary oper
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Posted 25 days ago | Updated 7 hours ago

PBM Data Analyst

ConsultNet, LLC

•

North Kingstown, Rhode Island, USA

Full-time

Data Analyst - Pharmacy Benefit Management (PBM) Job Summary: We are seeking a highly motivated and experienced Data Analyst with a strong focus on Pharmacy Benefit Management (PBM) to join our growing team. The ideal candidate will possess deep expertise in analyzing PBM data, including claims data, drug pricing, and demographics. This role will play a critical part in supporting business decisions and driving data-driven insights within the PBM domain. Responsibilities: Conduct in-depth ana
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Posted 31 days ago | Updated 7 hours ago

Program Manager - Pharmacy Benefits Management

Vega Consulting Solutions

•

Baltimore, Maryland, USA

Third Party, 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
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Posted 7 hours ago | Updated 6 hours ago

Technical Delivery Manager

EPSoft Technologies LLC

•

Dallas, Texas, USA

Contract, Third Party

Role: Technical Delivery Manager (Google Cloud Platform/Azure) and AI/ML Location: Dallas, TX Type: Contract Min Exp required: 10+ years Job Description: The IT Development Manager position exists to successfully execute projects / initiatives in an information technology (IT) department. You will coordinate team or group activities with CVS Health and vendor staff resources. You will provide guidance and direction to project teams and direct reports on planning and execution of projects, t
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Posted 7 days ago | Updated 4 days ago

Pharmacy Benefits Management

KMM Technologies, Inc

•

Baltimore, Maryland, USA

Full-time, Contract

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie
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Posted 7 hours ago

Data Architect

VLink Inc

•

Hartford, Connecticut, USA

Full-time, Third Party

Job Description: 100% Remote role The Data Architect proactively leads and supports software developers, database architects, data analysts and data scientists on data initiatives and will ensure optimal data delivery architecture is consistent throughout ongoing projectsDeveloping and implementing an overall organizational data strategy that is in line with business processes (healthcare and specifically in PBM ) This role will be responsible for expanding and optimizing data and data pipeline
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Posted 1 day ago | Updated 1 day ago

Senior BA/Product Owner

DVI Technologies, Inc.

•

Pittsburgh, Pennsylvania, USA

Full-time

Job Title: Senior BA/Product Owner Locations: Pittsburgh, PA Mode- Onsite Role Hire: Full Time Permanent Role Company: DVI Technologies Salary: $80 PA + Full Time Benefits Skills Needed Candidate should have experience within healthcare domain, preferably in pharma/PBM systems, as Senior BA and Product Owner Experience. Responsibilities: Lead requirements gathering sessions with stakeholders in the healthcare domain, focusing on pharma/PBM systems. Define and prioritize product features and user
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Posted 4 days ago | Updated 1 day ago

AS400 SYNON Lead

Centraprise Corp

•

Remote or Richardson, Texas, USA

Full-time

Position: AS400 Synon with PBM experience Location: Richardson, TX /Chicago, IL (Remote) Duration: Fulltime Permanent Years of exp Required: 8-12 Years Job Requirements: Should be proficient in Modern RPG and Synon with good concepts of DB2.Should know the project execution knowledge and good team player.Should be able to technically lead a team of 3-5 resources.RxClaim PBM experience is a must to have.Technically lead the team, design, code and unit test the requirements. Establish connect with
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Posted 45 days ago | Updated 11 hours ago

Lead Dot Net Developer

DTEL Engineering & Consultants Inc

•

Jersey City, New Jersey, USA

Contract, Third Party

Need Candidates who has worked with health care clients Need to be a Dot net Lead with PBM and Azure Back ground
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Posted 60+ days ago | Updated 1 day ago

IT Migration Data Analyst Support

Hallmark Global Technologies

•

US

Contract, Third Party

IT Migration Data Analyst Support C2H/C2C Work Location: Remote (EST preferred) The client is transitioning their adjudication platform from an external vendor to an internally developed system. To support this migration, they have allocated a significant number of internal resources to the project. However, they require additional personnel to assist with the workload and to take on tasks that their internal teams are unable to complete. Work with business and technology partners (e.g., Solut
Posted 60+ days ago | Updated 8 hours ago

Product Manager - Pharmacy App

NTT DATA Americas, Inc

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Remote or New York, New York, USA

Contract

Job Description: Works with users and leadership to develop and/or modify procedures because of workflow process changes related to EHR clinical and business application use. Effectively explains the functioning of the assigned EHR applications and related systems to the users. Assists users with using the full functionality of the applications. Prepares input for the requirements definition including user procedures, flowcharts and preliminary report and screen definition. Assists in the develo
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Posted 51 days ago | Updated 2 hours ago

Project Manager (Cloud Security)

Horizontal Talent

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Minnesota, USA

Contract

Responsibilities Lead programs to achieve business objectives, managing scope, schedule, budget, and quality. Track and monitor business objectives and ROI, taking corrective action as needed. Oversee resource allocation to balance workloads and ensure task completion. Act as the escalation point for program teams, maintaining team morale and stakeholder communications. Develop program roadmaps, task plans, and strategies to support execution and delivery. Ensure effective management of scope,
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Posted 17 days ago | Updated 8 hours ago

Technical Solution Architect

Horizontal Talent

•

Minneapolis, Minnesota, USA

Contract

Skills Bachelor's degree in Computer Science, Software Engineering, or a related field, or an equivalent combination of education and work experience. 8+ years in Business Analysis, System Design and Development, Systems Engineering, or Technical Architecture, including 3 years in an Architect role. Proficiency with major cloud platforms such as AWS or Google Cloud. Experience in migrating on-premises applications and systems to the cloud. Strong knowledge of programming languages like Python,
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Posted 8 days ago

Technical Lead

EPSoft Technologies LLC

•

Dallas, Texas, USA

Third Party

Role: Technical Lead Location: Dallas, TX Type: Contract Job Description: Major Skills: IBMi/AS400 Expertise: SYNON RPG (including Modern RPG and ILE) CL (Control Language) ALDON (Change Management System) RxClaim/PBM Knowledge: Proficiency in Pharmacy Benefit Management (PBM) Familiarity with RxClaim systems Key Qualifications: Preferred Technical Background: Cloud experience alongside IBMi/AS400 Domain Expertise: Healthcare domain knowledge Pharmacy Benefit Management (PBM) experience
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Posted 4 days ago

Program Manager w/ Pharmacy Benefit

SolutionIT, Inc.

•

US

Full-time, Third Party, Contract

Solution IT Inc. is looking for Program Manager w/ Pharmacy Benefit for one of its clients in Remote Job Title: Program Manager w/ Pharmacy Benefit Summary: We are seeking highly skilled Program Manager with deep expertise in pharmacy benefit programs to lead complex initiatives within our organization. This role will be instrumental in driving the planning, execution, and delivery of strategic projects related to pharmacy benefit management (PBM), formulary implementation, clinical program d
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Posted 1 day ago | Updated moments ago