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Remote

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7d ago

Business Analyst with Pharmacy Benefit Management Remote Fulltime Job Description: Minimum Qualifications: EXPERIENCE LEVEL: Ideally 10+ years experience working in PBM domain (Claims processing related). Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area. PBM SUBJECT MATTER EXPERTISE: Candidate should have deep understanding of Pharmacy Benefit Management (PBM) business processes including Claims Adjudication, Data related processes (e.g. Eligi

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Full-time

$120,000 - $140,000

Product Manager with a Background in PBM(Pharmacy Benefits Management)

Hybrid in Princeton, New Jersey

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7d ago

Position Overview Experienced Senior Product Manager with deep PBM expertise to lead strategy, development, and optimization of pharmacy benefit products, including claims processing, formulary management, rebate optimization, and member/provider experience. Key Responsibilities Product Strategy & Vision Define and execute PBM product roadmap aligned with business and regulatory goals Identify market opportunities and competitive positioning Align product strategy with executive leadership prior

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Contract

Depends on Experience

Business Analyst - Pharmacy

Little Rock, Arkansas

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 51,900.00 - 74,200.00 per year

Sr. Analyst - PBM - claims adjudicator - Healthcare - Medicaid

Remote

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Today

PBM experience Agile Healthcare Government programs, compliance, or Medicare. NCPDP 4 year degree is required (must be achieved) claims adjudicator integration understanding with strong business and technical acumen

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Contract

$50+

Project Manager - PBM - PMP - Claims Adjudication

Remote

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5d ago

PBM is a must. Pharmacy or Health PlansClient PortalsProvider Network Management and/or Clinical Programs. Claims Adjudication is always a plus.

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Contract

$60+

Product Owner - Data Integration - Health

Remote

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5d ago

Must have a bachelor s Degree PBM experience PO certification would be great Experience with either - Plan, Benefits, and/or Adjudication systems as this PO will be a part of support the Claims Administration.

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Full-time

$60+

EPIC Analyst - Claims

Remote

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Today

HCL Technologies Limited Job Summary HCL is looking for EPIC Analyst - Claims(Certified), who are ready to work in PST time zone. Key Responsibilities * Analyst provides day-to-day application support for the Epic HB module, with a primary focus on incident and service request ticket work, system maintenance, and incremental optimization * This role supports revenue cycle operations by troubleshooting break/fix issues, maintaining existing build, and partnering with operational teams to ens

Full-time, Contract

To define

EPIC Analyst

Remote

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Today

HCL Technologies Limited Job Summary To be responsible for managing technology in projects and providing technical guidance / solutions for work completion Key Responsibilities Configure, build, and maintain Epic Resolute Professional Billing (PB) functionality Support provider billing, charge capture, claims creation, and remittance workflows Design and maintain rules related to fees, modifiers, payer rules, and billing edits Revenue Cycle & Workflow Analysis Analyze end to end professional

Full-time, Contract

To define

DevOps Engineer - Azure Cloud (FinOps)

Pleasanton, California

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Today

HCL Technologies Limited Job Summary: We are seeking a mid-level DevOps Engineer with strong Azure Cloud experience to join the FinOps team. This role focuses on cloud financial management, cost optimization, governance, and operational efficiency across Azure environments. The ideal candidate is a well-rounded cloud professional who understands FinOps principles and can quickly adapt to tools such as Cloudability (prior hands-on expertise not mandatory). Key Responsibilities * Drive Azure c

Full-time

To define

Senior Client Manager Rx Solutions

Raleigh, West Virginia

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Today

{"description": " Company: Marsh McLennan Agency Description: Job Description For Posting Senior Client Manager Rx Solutions Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Senior Client Manager Rx Solutions a

Full-time

Staff Software Development Engineer (IBMi/AS400, Modernization)

Remote or Farmers Branch, Texas

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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 As a Technical SME on the RxClaim Platf

Full-time

USD 118,450.00 - 236,900.00 per year

Pharmacy Benefit Management Business Architect/Data Analyst

Atlanta, Georgia

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Today

Full-time

USD 72,800.00 - 104,000.00 per year

Software Engineering Senior Advisors- Hybrid

Remote or Plano, Texas

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15d ago

The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Lead application and services Quality Assurance, development, and design while interfacing with and steering our vendor partner consultants; Deliver reliable and secure software solutions meeting operational specifications required through the development of system logic; Review and validate developed code from othe

Full-time

Lead Director - Software Development Engineering (AI & Automation)

Remote or Richardson, Texas

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Today

Full-time

USD 144,200.00 - 288,400.00 per year

Software Quality Automation Engineer

Remote or Richardson, Texas

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Today

Full-time

USD 72,100.00 - 144,200.00 per year

Lead Software Engineer

Remote

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Today

Become a part of our caring community Shape the Future of PBM Technology at a Fortune 100 Innovator At Humana, a Fortune 100 healthcare technology leader, our Pharmacy Benefit Management (PBM) platform is a critical engine supporting millions of members, pharmacists, and clinical partners. As a Lead Software Engineer, you will serve as a technical authority within a modern, agile engineering organization-driving architectural direction, elevating engineering quality, and delivering scalable back

Full-time

USD 129,300.00 - 177,800.00 per year

Senior Manager - DevSecOps & Site Reliability Engineering

Remote or Scottsdale, Arizona

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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. At CVS Health, we're building a world of health around e

Full-time

USD 118,450.00 - 236,900.00 per year

Remote - Kogito Developer JOB-002

Remote

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5d ago

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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Contract

Depends on Experience

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