pbm Jobs in jersey city, nj

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Healthcare PM -PBM & Facets G6

Digitive LLC

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Remote

Contract

Job Title: Healthcare PM -PBM & Facets G6 Location: 100% Remote Duration: 12-Month Contract-to-Hire (C2H) Job Description Company is seeking an experienced Project Manager to manage a multi-year, enterprise-wide PBM transition program. This role will drive the replacement of our current PBM vendor and oversee related IT and business transformations, including the migration to Facets G6 and integration of complex API solutions. The role has a high degree of visibility and strategic impact across
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Posted 19 hours ago | Updated 17 hours ago

Senior Project Manager -PBM Transformation & Systems Implementation

Digitive LLC

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Remote

Contract

Role: Senior Project Manager - PBM Transformation & Systems Implementation Location: 100% RemoteW2 ONLY POSITIONType: 12-Month Contract-to-Hire (C2H) Job Summary:Company is seeking an experienced Project Manager to manage a multi-year, enterprise-wide PBM transition program. This role will drive the replacement of our current PBM vendor and oversee related IT and business transformations, including the migration to Facets G6 and integration of complex API solutions. The role has a high degree of
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Posted 19 hours ago | Updated 19 hours 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 4 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 11 days 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 11 days ago | Updated 6 days ago

PBM / RX Claims Test Analyst - Remote - Contract

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
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Posted 6 days ago

PBM Supply Chain & Contracts SME

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
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Posted 56 days ago | Updated 29 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 42 days ago | Updated 6 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 13 days ago | Updated 12 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 5 days ago | Updated 5 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 5 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 25 days 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 RE
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Posted 60+ days ago | Updated 6 days 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 18 days ago | Updated 23 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 23 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 6 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 8 hours 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 5 days ago | Updated 5 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 23 hours ago

Remote - Kogito Developer

GRT Corporation

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Remote

Contract

Job Title: Kogito Technical Lead / Senior Developer Location: Remote] Experience Required: 56+ years in Java development, 35+ years in Kogito BPM Education: Bachelors degree in Computer Science, Software Engineering, or a related field Job Summary: We are seeking an experienced Kogito Technical Lead / Senior Developer to join our engineering team. This role is responsible for designing, developing, and deploying cloud-native applications using the Kogito framework for process automation and deci
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Posted 13 days ago | Updated 13 days ago