pbm Jobs

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Senior Implementation Consultant - PBM

Next Gen IT Inc

•

Remote

Contract, Third Party

Senior Implementation Consultant - Pharmacy Benefit Manager Remote Skills Required and Job Description: Job Description:- we are looking for a very senior resource Summary: Client is looking for a Senior PBM Strategy and Implementation Consultant to support the implementation of a new pharmacy benefits manager (PBM) and financial model. This role will report directly to the VP of Pharmacy Management and serve as the business lead throughout an 18-month implementation process. The consultant will
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Posted 2 days ago

Hiring Lead PBM Implementation SME (Supply chain financial mgmt )- 2 Monthly Hybrid in Canton, MD - Contract to Hire

Elite Technical

•

Baltimore, Maryland, USA

Contract

Lead PBM Implementation Consultant Elite Technical is seeking a PBM Implementation Consultant Lead. We are seeking candidates with PBM implementation experience, and 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, a
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Posted 1 day ago

PBM Pharmacy Benefits Strategy Manager - ONLY W2

nTech Solutions

•

Remote or Baltimore, Maryland, USA

Contract

ONLY W2ONLY W2ONLY W2 Title: Pharmacy Benefits Strategy Manager (PBM) Location: Baltimore, MD, 21224 Duration: 6 Months Contract to Hire Job Description: Terms of Employment W2 Contract-to-Hire, 6 MonthsThis position is primarily remote. Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas. Furthermore, post-conversion to permanent employment, this individual must be comfortable commuting or
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Posted 1 day ago | Updated 1 day 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 47 days ago | Updated 7 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 REST
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Posted 5 days ago | Updated 1 day ago

PBM Data Analyst

ConsultNet, LLC

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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 53 days ago | Updated 7 hours ago

PBM Project Manager

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
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Posted 5 days ago | Updated 15 hours ago

PBM Data Engineer

CVS Health

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Remote or Scottsdale, 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
Posted 8 hours ago

Senior Manager, Software Development - Connected PBM

CVS Health

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Remote or Buffalo Grove, 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
Posted 19 days ago | Updated 8 hours ago

Program Manager - Pharmacy Benefits Management

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
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Posted 22 days ago | Updated 1 day ago

Technical Delivery Manager

EPSoft Technologies LLC

•

Dallas, Texas, USA

Third Party, Contract

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 16 days ago | Updated 3 days ago

IT Migration Data Analyst Support-GX

Param Consulting Services, Inc.

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US

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
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Posted 4 days ago | Updated moments 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 26 days ago | Updated 23 days ago

Lead Dot Net Developer

DTEL Engineering & Consultants Inc

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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 3 days ago

IT Migration Data Analyst Support

Hallmark Global Technologies

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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 4 days ago

Remote - Technical Product Manager [TPM]

GRT Corporation

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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
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Posted 5 days ago | Updated 1 day ago

Underwriting Account Senior Representative

Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Underwriting Account Senior Representative. This is a 06+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: 25-71595 Pay Range: $22 - $22.69/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: Review medical hi
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Posted 8 days ago

Pharmacy Benefits Management Implementation Consultant

Charter Global, Inc.

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Baltimore, Maryland, USA

Contract

Job Title: Pharmacy Benefits Management Strategy and Implementation Consultant Location: Baltimore, MD (Remote Job) Duration: 12 Months CTH Job Details: This role requires deep expertise in pharmacy supply chain financial management, Pharmacy Benefits Management transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and Pharmacy Benefits Management transition, including managing execution activities, aligning stakehol
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Posted 3 days ago

Executive Pharmacy Benefits Manager

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 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
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Posted 22 days ago | Updated 1 day ago

Technical Lead

EPSoft Technologies LLC

•

Dallas, Texas, USA

Contract, Third Party

Role: Technical Lead - AS 400 Consultant 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 Manageme
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Posted 16 days ago | Updated 3 days ago