pbm Jobs in austin, tx

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PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLC

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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
Posted 46 days ago | Updated 3 hours ago

Financial Modeling Analyst PBM

Vega Consulting Solutions

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Remote

Third Party, Contract

Vega Consulting is staffing a Financial Modeling & Analyst PBM SME for our direct Healthcare client. We are seeking candidates with PBM experience. This is a specialized role requiring strong domain expertise to ensure our clients pharmacy supply chain delivers value and operates with financial integrity. This is a remote and contract to hire job opportunity. Candidates must be eligible for direct hire (no sponsorship). Prefer candidates that are located on the east Coast to support East Coast c
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Posted 16 days ago | Updated 3 days ago

PBM Program Director -- W2 ONLY

nTech Solutions

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Remote

Contract

NO C2C NO C2C NO C2C NO C2C NO C2C NO C2C Title: PBM Program Director Location: 100% Remote (Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas.) Terms of Employment: W2 Contract-to-Hire, 12 Months This is a 100% remote position. Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas
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Posted 16 days ago

PBM Strategy and Implementation Consultant

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
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Posted 47 days ago | Updated 3 days ago

PBM Rebates Data Analyst

Techstra Solutions

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Remote

Full-time

Techstra Solutions is seeking a Business Data Analyst with deep expertise in Pharmacy Benefit Management (PBM) and rebates analytics to support a strategic BI/reporting transformation initiative. This high-impact role involves documenting requirements, inventorying BI assets, and supporting the migration to a next-gen BI platform all within an agile, cloud-first environment.Shape a major BI transformation initiativeWork in a world-class, healthcare analytics environmentHands-on exposure to moder
Posted 18 days ago | Updated 17 days ago

Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

SanKar Inc

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Remote

Contract

Position: - Sr. Business Analyst (PBM Domain and RxCLAIM experience)Location: - RemoteType: - Contract Job Description Perform comprehensive business analysis including requirement elicitation, stakeholder interviews, and gap analysis.Create detailed Business Process Maps (BPMs) and flow diagrams to visualize current and future-state workflows.Work closely with solution architects, QA teams, developers, and business users to ensure proper interpretation of Business processes.Use SQL to query da
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Posted 9 days ago

PBM Analyst - Pharmacy Benefits Management - data analytics

KE Staffing

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Remote

Full-time

2+years of pharmacy benefits management (PBM) experience in data analytics. Prior experience with formulary coding options and pharmacy network configuration, claims adjudication experience (preferred).SQL experience
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Posted 10 days ago

Financial Planning Analyst (PBM Supply Chain) -Fully Remote

Elite Technical

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Remote

Contract, Third Party

Candidates must have PBM ( Pharmacy Benefits Management) experience this means they must have worked at PBM companies such as Walgreens, CVS etc. Third parties-absolutely no phone calls please Candidates must be willing to go direct after one year without a sponsor. Must reside in an approved state. Location: 100% remote, approved states only. DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. Our direct client is seeking a Financial Planning Analyst (PBM Supply Chain) for a long term engagement. Edu
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Posted 10 days ago | Updated 10 days ago

Business Analyst Specialty Pharma & PBM Experience

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
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Posted 30 days ago

PBM Network Management SME

nTech Solutions

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Remote

Contract

Terms of Employment: W2 Contract-to-Hire, 12 MonthsThis position is remote.Overview: Join a leading managed care organization and take charge of our pharmacy network operations. In this crucial role, you will oversee our relationships with various pharmacy network partners (retail, mail, specialty) to ensure they meet contractual, regulatory, and service-level standards. This is a non-technical, operational management position focused on performance, compliance, and optimization. You will Manage
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Posted 60+ days ago | Updated 2 days ago

PBM Integration Lead

York Solutions, LLC

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Remote

Contract

Summary We are seeking two experienced Business Integration Principals to support the implementation of a large national health plan client. These individuals will each own a high-level workstream composed of approximately 10 sub-tracks (e.g., adjudication, operations, etc.), and be responsible for driving deliverables, facilitating internal and external coordination, and maintaining client confidence through proactive issue management and executive communication. This role is ideal for a senior
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Posted 4 days ago | Updated 14 hours ago

PBM Project Manager

York Solutions, LLC

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Remote or Minnesota, USA

Contract

Position Overview: These Sr PMs will support new client implementations. Must have strong PM skills (normal PM ask for managing scope, schedule, budget + RAID, stakeholder, communication, status, financial management through the project lifecycles). Project Overview: New Client Implementations Skills: Experience working with org change management will be helpful as one of the projects will impact a very large team and they will need active communication, training, buy-in, etc. Must be able to
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Posted 23 days ago | Updated 14 hours ago

RxCLAIM SME

Data Wave Technologies Inc

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US

Contract

Job Title: RxCLAIM SME Location: Remote Duration: Long term Tax Term: W2 Key Technology: RxClaim, PBM Job Responsibilities: Act as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms. Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications. Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy,
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Posted 5 days ago | Updated 1 day 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 60+ days ago | Updated 7 hours ago

Financial 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 60+ 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 60+ days ago | Updated 23 hours ago

Financial Planning & Analysis / Pharmacy Supply Chain Reconciliation SME

Lumen Solutions Group Inc.

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Remote or Reston, Virginia, USA

Contract

Financial Planning & Analysis / Pharmacy Supply Chain Reconciliation SME Work Arrangement: 100% Remote Duration: 18-Month Contract-to-Hire Rate: Up to $67/hour W2 | Up to $78/hour C2C Role Overview: We are seeking a Financial Planning & Analysis / Pharmacy Supply Chain SME to lead the financial strategy, reconciliation, and performance oversight of the pharmacy supply chain across commercial and government lines of business (e.g., FEHBP, Medicare, Medicaid). This role requires a deep understandi
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Posted 46 days ago | Updated 1 hour ago

Healthcare Quality Management Consultant - Remote

VIVA USA INC

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Remote

Contract

Title: Healthcare Quality Management Consultant - Remote Mandatory skills: audit, underwriting, quality assurance, Salesforce, PBM, spreadsheets, sales, data science, PBM Underwriting Quality Management, SOX audit, peer review audit, sales review audit, quality audit review, contract review audit, business analytics, business documentation, business process, business systems, automation, reporting tools, quality review, data transparency, audit process, audit completion, data-driven KPI, qualit
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Posted 3 days ago

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)-Fully Remote

Elite Technical

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Remote

Contract

Our direct client is seeking a Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial) for a fully remote contract to hire engagement. 100% remote, approved states only. Candidates must reside in DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. (might have to come onsite from time to time for meetings. Nothing specific scheduled.) 5 years experience in a finance, accounting or an analytical role within finance sector or quantitative analysis Education Level: Bachelor's Degree. In lieu of a
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Posted 10 days ago | Updated 10 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 1 day ago