pbm Jobs in houston, tx

1 - 20 of 43 Jobs

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

SanKar IncCompany Name - 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

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 Analyst - Pharmacy Benefits Management - data analyticsJob Title - PBM Analyst - Pharmacy Benefits Management - data analytics

KE StaffingCompany Name - 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

Financial Planning Analyst (PBM Supply Chain) -Fully RemoteJob Title - Financial Planning Analyst (PBM Supply Chain) -Fully Remote

Elite TechnicalCompany Name - 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

PBM Program Director -- W2 ONLYJob Title - PBM Program Director -- W2 ONLY

nTech SolutionsCompany Name - 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

Financial Modeling Analyst PBMJob Title - Financial Modeling Analyst PBM

Vega Consulting SolutionsCompany Name - 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

PBM / RX Claims Test Analyst - Remote - ContractJob Title - PBM / RX Claims Test Analyst - Remote - Contract

Ztek ConsultingCompany Name - Ztek Consulting

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Remote

Contract

Title: PBM / RX Claims Test Analyst Location: Remote Duration: Contract Top 3 skills required for this role? 1.PBM 2.Rxclaims 3.Manual Testing 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 prioritiz

PBM Rebates Data AnalystJob Title - PBM Rebates Data Analyst

Techstra SolutionsCompany Name - 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

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

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

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

Product Owner - Pharmacy Benefit Management (PBM) - Healthcare/Pharmacy/MedicalJob Title - Product Owner - Pharmacy Benefit Management (PBM) - Healthcare/Pharmacy/Medical

FutureTech Consultants LLCCompany Name - 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 RE

PBM Project ManagerJob Title - PBM Project Manager

York Solutions, LLCCompany Name - 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

PBM Communications SpecialistJob Title - PBM Communications Specialist

nTech SolutionsCompany Name - nTech Solutions

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Remote

Contract

Must-Have: Must have a Laptop/computer with internet to work from home. Comfortable providing a Photo ID Copy Terms of Employment: W2 Contract-to-Hire, 12 Months This 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: We are seeking a PBM Communications Specialist for a leading managed care organization to ensure all pharmacy-related communications are accurate

RxCLAIM SMEJob Title - RxCLAIM SME

Data Wave Technologies IncCompany Name - Data Wave Technologies Inc

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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,

Rx-Claims Test AnalystJob Title - Rx-Claims Test Analyst

RiseIT SolutionsCompany Name - RiseIT Solutions

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Remote

Contract, Third Party

Company: iTech US, Inc. Job Title: Rx-Claims Test Analyst Location: Remote Job Responsibilities: Experience in Healthcare or a PBM desired..NET C# experience as SDETPrioritize, 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 to work as a team.Ability to interact and

RxCLAIM SME(Business / Systems Analysis)Job Title - RxCLAIM SME(Business / Systems Analysis)

Helishores IncCompany Name - Helishores Inc

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Remote

Contract, Third Party

Role: RxCLAIM SME Location: Remote Required: Minimum of 8+ years' experience in PBM operations, with direct involvement in plan design and configuration. Deep expertise in RxCLAIM or comparable adjudication systems. Familiarity with NCPDP standards and formulary management. Strong understanding of Commercial & Medicare benefit structures involving Formularies/Drug lists, Pharmacy Networks and Pricing (Client/Pharmacy) Excellent analytical and documentation skills, with ability to translate busin

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

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

Elite TechnicalCompany Name - 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