pbm Jobs

Refine Results
21 - 40 of 61 Jobs

Remote - Product Manager [Health Tech & Pharmacy Benefits Management]

GRT Corporation

•

Remote

Contract

Job Title: Product Manager Healthcare Technology and Pharmacy Benefits Management (PBM) Location: Remote - United States Position Type: Contract (12+ months) on W2 Compensation: $50-$55/hour dependent on experience Overview: We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functi
Easy Apply
Posted 58 days ago | Updated 6 days ago

Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

•

Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with 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. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp
Easy Apply
Posted 60+ days ago | Updated 9 days ago

Pharmacy Network Oversite or Pharmacy Process Manager

Vega Consulting Solutions

•

Remote

Third Party, Contract

Vega Consulting Solutions, Inc. is hiring! We are staffing a Pharmacy (Healthcare) Process Manager for Network Oversite (or Process Manager) for a 18 month Contract to hire opportunity with our direct client. This position is 100% remote based. This role supports the oversight and optimization of pharmacy network operations.Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.Support credentialing, re-contracting, and termination proc
Easy Apply
Posted 60+ days ago | Updated 9 days ago

QA Analyst - Healthcare

Digitive LLC

•

Remote

Contract, Third Party

Role: QA Analyst - Healthcare Location: Remote Experience: 4 Years 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 prioritization skills. Courteous and professional demeaner with the desire and ability t
Easy Apply
Posted 2 days ago | Updated 2 days ago

Software Engineer/Developer--Synon/ COOL 2E - Remote

Data Wave Technologies Inc

•

New Jersey, USA

Full-time, Contract

Sr Software Engineer/Developer--Synon/ COOL 2E Remote Fulltime Required: Strong SYNON/COOL 2E coding skills Experience with RxCLAIM or Healthcare PBM applications 3 - 5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400 Strong troubleshooting skills, and diligence in the pursuit of issue resolutions. Code with a minimal amount of guidance and meet project deadlines. Maintain existing systems, document the current system flow and business logic, development of new sys
Easy Apply
Posted 44 days ago | Updated 21 hours ago

Unica / AJO Email Journey Builder

Tek Ninjas

•

Remote or Eden Prairie, Minnesota, USA

Contract

Unica / AJO Email Journey Builder contract on W2 Contract to hire remote role Required Skills: Strong Experience in Unica majority of works is going to be in UnicaExperience in building campaigns Running campaigns, processes, doing validations QCing flowcharts for others on team Experience in SQL and be able to develop own queries for validations Mid-level SQL skills Running queries Tables Joins Some exposure Experience in AJO would be a plus, not required They will offer training on AJO Setti
Easy Apply
Posted 2 days ago | Updated 6 hours ago

Sr. SYNON Developer

KE Staffing

•

Remote

Contract

Required: Strong SYNON/COOL 2E coding skillsExperience with RxCLAIM or Healthcare PBM applications5-8 years of experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400Strong troubleshooting skills, and diligence in the pursuit of issue resolutions.Code with a minimal amount of guidance and meet project deadlines.Maintain existing systems, document the current system flow and business logic, development of new systems/solutions, and perform major enhancements to existing systems using SYNON
Easy Apply
Posted 43 days ago | Updated 5 days ago

Data Director/Data Solution Architect

Cloudious

•

Kentucky, USA

Contract

Data Solution Architect / Director Location Louisville, KY (Onsite) (Primary location Louisville, KY, Secondary Nashville, TN) Contract-Hire Required Skills: 17+ years of industry experience with a strong blend of consulting and hands-on data architecture, including leadership roles in healthcare and PBM/pharmacy domains. Deep expertise in Data Lake architecture with hands-on skills in Databricks, Snowflake, ETL, and PySpark for building scalable, cloud-native data solutions. Proven succes
Easy Apply
Posted 16 days ago | Updated 2 hours ago

Pharmacy Business Analyst - Conversion & Prior Auth SME

Gainwell Technologies LLC

•

Kansas City, Missouri, 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 Pharmacy Business Analyst - Conversion & Prior Auth SME at Gainwell, you can contribute your skills as we harness the powe
Posted 11 hours ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

•

Kansas City, Missouri, 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 Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 11 hours ago

Snowflake Data Architect

VDart, Inc.

•

Princeton, New Jersey, USA

Contract, Third Party

Data Architect C2H Remote This role requires hands-on experience with Snowflake, Matillion, and AWS (or similar technologies), along with strong knowledge of data governance, healthcare standards, and a strategic approach to building scalable, future-ready data systems. Key Responsibilities: Core Architecture and Engineering Design and implement scalable cloud-native architecture, integrating healthcare and PBM data to support Medicare drug pricing, compliance reporting and regulatory requi
Easy Apply
Posted 22 hours ago | Updated moments ago

Only w2 or 1099 _ Pega Lead Architect with CLSA Part 2 certification

Dornan Technologies

•

Morris Plains, New Jersey, USA

Contract

Application Development Senior Advisor 5 openings Location: Hybrid in Morris Plains, NJ Must Haves: CLSA Part 2 required 5+ years of experience with multiple programming languages - Mastery of core programming languages such as Java, Python, and JavaScript is crucial. ( and understanding)5+ years of experience in Pega and hands on workflow creation- Extensive experience with Pega, particularly in defining case types, business rules, decisioning, workflows is needed. These solutions will be tail
Easy Apply
Posted 17 hours ago | Updated 16 hours ago

Application Development Senior Advisor - Pega

w3r Consulting

•

Morris Plains, New Jersey, USA

Contract

Must Haves: 5+ years of experience with multiple programming languages - Mastery of core programming languages such as Java, Python, and JavaScript is crucial. ( and understanding)5+ years of experience in Pega and hands on workflow creation- Extensive experience with Pega, particularly in defining case types, business rules, decisioning, workflows is needed. These solutions will be tailored to healthcare management, experience here is highly valuable.5+ years of Proven experience integrating Pe
Easy Apply
Posted 9 days ago

Synon Developer

Kollasoft Inc.

•

Remote

Contract

Skills and Experience Needed Required: Strong SYNON/COOL 2E coding skillsExperience with RxCLAIM or Healthcare PBM applications3-5 Years of Experience with SYNON/COOL 2E, COBOL400, CL/400, CLLE, DB2/400Strong troubleshooting skills, and diligence in the pursuit of issue resolutions.Code with a minimal amount of guidance and meet project deadlines.Maintain existing systems, document the current system flow and business logic, development of new systems/solutions, and perform major enhancements to
Easy Apply
Posted 60+ days ago | Updated 2 days ago

Data Engineer

CCS Global Tech

•

US

Full-time

CCS Global Tech is a rapidly growing Information Technology company with a diverse portfolio of technology products and services and a large network of industry partnerships. With over 22 years of being a successful business with a global talent pool and presence, CCS is a certified Microsoft Gold Partner and specializes in delivering expert Microsoft based solutions for technical and business needs. We have been recognized by Inc. 500 Magazine as one of the fastest growing small companies in th
Easy Apply
Posted 1 day ago

Senior Automation Engineer

CVS Health

•

Remote or Northbrook, 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 45 days ago | Updated 2 hours ago

Staff Full Stack Java Developer - myPBM

CVS Health

•

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 4 days ago | Updated 2 hours ago

Financial Modeling & Analysis SME - Pharmacy Benefit Management

ALTA IT Services

•

00000

Full-time

FINANCIAL MODELING & ANALYSIS SME (PHARMACY, FINANCE, ACTUARIAL) PHARMACY BENEFIT MANAGEMENT CONTRACT TO HIRE 100% REMOTE - MUST BE LOCATED IN ONE OF THE FOLLOWING STATES - MD, DC, VA, WV, DE, PA, NC, NY, NJ, TX, FL HOURLY RATE: $70/HR. W2 ALTA IT Services has a contract-to-hire opening for a Financial Modeling and Analysis expert with Pharmacy Benefit Management (PBM) expertise. This role provides critical support for financial modeling and forecasting related to pharmacy programs for a leadin
Easy Apply
Posted 14 days ago | Updated 11 hours ago

ETL Developer with Informatica

Genesis10

•

Eagan, Minnesota, USA

Full-time

Genesis10 is currently seeking an ETL Developer with Informatica for a 6 month contract role with our client in the healthcare industry in Eagan, MN. This role is 100% remote. Skills Required: Informatica is Required Snap Logic is preferred, but can train Data Integration SQL PL/SQL Healthcare/PBM Responsibilities for ETL developer [ Informatica & Snaplogic] Promote and apply ETL development best practices. Participates on (and may lead) projects where analysis of systems or data requires an in-
Easy Apply
Posted 14 hours ago | Updated 2 hours ago

Microstrategy Analyst

Techstra Solutions

•

Remote

Full-time

Techstra is seeking a highly skilled Technical Data Analyst/Engineer with deep expertise in MicroStrategy and strong business strategy acumen. This hybrid role combines data engineering, analytics, and business intelligence to support strategic decision-making across the organization. The ideal candidate will be responsible for designing, developing, and maintaining scalable data solutions, dashboards, and analytical tools that empower teams with actionable insights. From the day you join, you w
Posted 2 days ago | Updated 1 day ago