201 results (6 new)
Remote
•
Yesterday
Medical Claims or Pharmacy claims or membership information. SQL Server and SQL writing Some recent experience with Data modeling & Data Warehousing (Any platform is ok, does not have to be snowflake) EDI transaction experience API integration into Data Warehouse with EDI 834 and 837. This is not a BA role
Easy Apply
Contract
$50+
Remote
•
10d ago
Reports to: Chief Executive Officer Employment Type: Full-time Work Arrangement: Fully remote in USA only Compensation: $200,000$240,000 About the RoleWe are seeking a strategic Vice President of Pharmacy Benefit Management (PBM) to build and lead our in-house PBM. Reporting directly to the CEO, this leader will oversee the transition from outsourced PBM services to an internally managed model, establishing the processes, infrastructure, and team needed for long-term success. Initially, the ro
Easy Apply
Full-time
Depends on Experience
Remote
•
24d ago
Duties The pharmacy technician supports the organizations mission and purpose by providing front-line customer support for a diverse portfolio of customers.This individual will be responsible for handling inbound telephone inquiries from members, pharmacies, and prescribers in our National Customer Care Center.Consistently meet established productivity, schedule adherence, and quality standards. Responsibilities Provide real-time support to pharmacies with point of service inquiries.Educate pres
Easy Apply
Contract
20 - 22
Remote
•
Yesterday
We are seeking to hire a Advisor (Lead) Data Analyst with expertise in Medicare / Pharmacy Benefits Management systems, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid
Easy Apply
Full-time
Depends on Experience
Marsh McLennan
Conshohocken, Pennsylvania
•
18d ago
Company: Marsh McLennan Agency Description: Marsh McLennan Agency's East Region is a leader in the employee benefits marketplace. Our associates simplify employee health and welfare benefits and risk management for regional, national, Fortune 500 and Fortune 1000 companies. We value integrity, collaboration, passion, innovation, and accountability, and we are committed to making a difference in the moments that matter for our colleagues, clients, and communities. The Pharmacy Financial Consult
Full-time
USD 71,800.00 - 133,700.00 per year
Remote
•
Today
Job Description Summary #LI-Remote This position can be based remotely anywhere in the U.S. (there may be some restrictions based on legal entity). Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager. This position will require 20% travel. Job description summary The Data Innovation, Partnerships and Products (DIPP) team sits within the Data Products and Foundatio
Full-time
USD 185,500.00 - 344,500.00 per year
Remote or Massachusetts
•
Today
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health Specialty is looking for ha
Full-time
USD 106,605.00 - 260,590.00 per year
NTT DATA, Inc.
Remote or Frisco, Texas
•
Today
About NTT DATA NTT DATA strives to hire exceptional, innovative, and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a professional to join our team in Frisco, Texas (US-TX), United States (US). Day to Day job Duties: (what this person will do on a daily/weekly basis) Provide L2/L3 application and operational support for pharmacy systems, ensuring high availability and t
Full-time
USD 45.00 - 55.00 per hour
NTT DATA, Inc.
Remote or Frisco, Texas
•
Today
Req ID: 389976 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Pharmacy Application Support Engineer (L2 / L3 Support) - REMOTE to join our team in Frisco, Texas (US-TX), United States (US). Day to Day Responsibilities: Provide L2/L3 application and operational support for pharmacy systems, ensuring high availability a
Full-time
USD 78,948.00 - 120,615.00 per year
Remote or Mission, Kansas
•
Today
Who is ScriptPro? Imagine working at a place where innovation meets impact, and every day brings new opportunities to revolutionize the pharmacy industry! At ScriptPro, you'll be part of a dynamic team that's at the cutting edge of technology, creating solutions that make a real difference in people's lives. ScriptPro develops, sells, and supports state of the art robotics and services in thousands of pharmacy settings around the United States and Canada. ScriptPro's Customer Service department
Full-time
USD 24.00 - 27.00 per hour
Remote or Mission, Kansas
•
Today
Who is ScriptPro? Imagine working at a place where innovation meets impact, and every day brings new opportunities to revolutionize the pharmacy industry! At ScriptPro, you'll be part of a dynamic team that's at the cutting edge of technology, creating solutions that make a real difference in people's lives. ScriptPro develops, sells, and supports state of the art robotics and services in thousands of pharmacy settings around the United States and Canada. ScriptPro's Customer Service department
Full-time
USD 24.00 - 27.00 per hour
King of Prussia, Pennsylvania
•
Today
Job Summary: The Network Strategy Lead supports the Head of Network Strategy in developing and delivering CSL\'s long-term global manufacturing network strategy. Within an assigned portfolio of products, platforms, assets or sites, the role translates portfolio growth, demand, lifecycle and business requirements into integrated capacity, footprint, sourcing, asset and site strategies that enable supply continuity, operational performance and future growth. Working across Product Strategy, Manuf
Full-time
Philadelphia, Pennsylvania
•
Today
A client of Innova Solutions is immediately hiring for Lead Healthcare Operations Analyst Position Type: Contract Duration: 06 Months Location: Philadelphia, PA As a Lead Healthcare Operations Analyst you will: Monitor customer service, claims, enrollment, and supporting functions to identify gaps, inconsistencies, emerging trends, and areas requiring adjustment. Conduct frequent call listening and targeted transcript, claims, and enrollment reviews to identify misinformation, process breakdow
Easy Apply
Contract
Depends on Experience
Pennington, New Jersey
•
9d ago
A client of Innova Solutions is immediately hiring a Site Reliability Engineer Position type: Contract/FTE Duration: 12+ Months Location: Pennington, NJ (08534) - (Hybrid 3 days in office) As a Site Reliability Engineer , you will: Operate hands-on across the stack to improve platform and application observability, drive reliability improvements, and deliver measurable gains in operational efficiency across Global Markets. This role will work closely with Quartz core teams to execute platfo
Easy Apply
Contract
Depends on Experience
Remote
•
3d ago
Engagement Manager / Medical Officer / Medical Affairs focus Location: East coast Preferred Boston / NY / NJ - Nearby location Essential Functions Be Client face for all medical affairs / Pharma Analytics engagements Serve as the SME and main client point of contact for Medical Affairs project engagements and internal team lead Liaise with client leadership and project team to ensure project output includes strategically sound and actionable recommendations and answers client business ques
Easy Apply
Full-time, Third Party
Depends on Experience
Fort Washington, Pennsylvania
•
Today
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health opt
Full-time
USD 91,700.00 - 163,700.00 per year
Pennington, New Jersey
•
Today
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and spe
Full-time
USD 97,947.20 - 127,982.40 per year
Remote
•
Today
Role: Professional Developer (NCPDP F6 Implementation Project) Location: Remote USA Duration: 3+ months (possibility of extension) Key Responsibilities Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support. Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable t
Easy Apply
Contract
45 - 50
Remote
•
7d ago
Required Qualifications 15+ years of software quality assurance experience, including hands-on test design and execution. 5+ years of QA leadership or management experience. Strong experience supporting PBM claims processing systems. Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management. Ability to define and manage quality metrics, dashboards, and team performance indicators. Strong analytical, communication, stakeholder management, and proble
Easy Apply
Contract, Third Party
Depends on Experience
Remote
•
24d ago
Shift Shift Schedule: Monday through Friday 10:00 AM to 6:30 PM with a possible Sat rotation if business needs dictate.The shift time may be subject to change based on business needs. Duties As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products.Determinations include medical necessity and benefit decisions.Decisions are made
Easy Apply
Contract
65 - 70
