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Business Analyst with Pharmacy Benefits Management

Hexaware Technologies, Inc

Remote • 2d ago

Easy Apply

Full-time

Depends on Experience

Project Manager with Medicare/Medicaid and Pharmacy Benefits Management expertise

ec3 Federal Services

Remote • 25d ago

Easy Apply

Full-time

Depends on Experience

Business Analyst

Innova Solutions, Inc

Charlotte, North Carolina • 5d ago

Easy Apply

Contract

Depends on Experience

Business Analyst

Innova Solutions, Inc

Wilmington, Delaware • 23d ago

Easy Apply

Contract

Depends on Experience

Salesforce Business Analyst

Innova Solutions, Inc

Fort Washington, Pennsylvania • 4d ago

Easy Apply

Contract

Depends on Experience

Pharma Business Analyst

Techaffinity Consulting

Teaneck, New Jersey • 5d ago

Easy Apply

Contract

Depends on Experience

EDI Business Analyst Healthcare Enrollment

Lumen Solutions Group Inc.

Remote • 2d ago

Easy Apply

Contract

Depends on Experience

Business Systems Analyst Healthcare Benefits & Claims

K-Tek Resourcing LLC

Remote • 4d ago

Easy Apply

Contract

45 - 47

Senior Business Analyst - Pharmacy

Gainwell Technologies LLC

Chicago, Illinois • Today

Full-time

USD 69,400.00 - 99,200.00 per year

Business Analyst - Pharmacy IT

Gainwell Technologies LLC

Birmingham, Alabama • Today

Full-time

USD 51,900.00 - 74,200.00 per year

Benefits Analyst

Tranzeal, Inc.

Hybrid in Alpharetta, Georgia • 2d ago

Easy Apply

Contract

Depends on Experience

Salesforce Business Analyst

NTT DATA Americas, Inc

Hybrid in Bala Cynwyd, Pennsylvania • 25d ago

Easy Apply

Contract, Third Party

$66.67

Business Analyst

Kforce Technology Staffing

Westlake, Texas • Yesterday

Contract

$25 - $35 hourly

Workday Absence / Benefits Analyst

Kforce Technology Staffing

Remote or Fort Lauderdale, Florida • Yesterday

Contract

$51 - $69 hourly

Defined Benefit Implementation Analyst

Marsh McLennan

Louisville, Kentucky • 3d ago

Full-time

USD 59,500.00 - 119,500.00 per year

Business Analyst

Randstad Digital

Jersey City, New Jersey • Today

Contract

USD43 - USD53

Healthcare Business Analyst Health Plan

People Force Consulting Inc

Remote • Today

Easy Apply

Third Party, Contract

Business Analyst (Guidewire ClaimCenter)

Beacon Hill

Madison, Wisconsin • Today

Easy Apply

Contract

$54 - $57 per hour

Lead Business Analyst

Randstad Digital

Jersey City, New Jersey • Today

Contract

USD55 - USD65

ServiceNow Business Analyst

STAND 8

Los Angeles, California • Today

Easy Apply

Contract

$55 - $65 per hour

Business Analyst

BCforward

Minneapolis, Minnesota • Today

Easy Apply

Contract

$64.47 - $64.47 per hour

Business Analyst

Beacon Hill

Indianapolis, Indiana • Today

Easy Apply

Full-time

Global Benefits Analyst

Ryan, LLC

Plano, Texas • 3d ago

Full-time

Global Benefits Analyst

Aon Corporation

New York, New York • Today

Full-time

USD 75,000.00 - 95,000.00 per year

Salesforce Business Analyst

Pyramid Consulting, Inc.

Hybrid in Fort Washington, Pennsylvania • 3d ago

Easy Apply

Contract

$60 - $65

Benefits Manager

Kroll

Morristown, Tennessee • Yesterday

Full-time

USD 60,000.00 per year

Business Analyst

Datasoft Technologies, Inc.

Remote • 2d ago

Easy Apply

Third Party, Contract

$80

Senior Pharmacy Analyst - WI

Gainwell Technologies LLC

Milwaukee, Wisconsin • Today

Full-time

USD 69,400.00 - 99,200.00 per year

Analyst - IT Applications – Pharmacist – Remote Arizona

HonorHealth

Hybrid in Phoenix, Arizona • 20d ago

Easy Apply

Full-time

Depends on Experience

PHARMACY MANAGER

Burnett Medical Center Inc

Grantsburg, Wisconsin • Today

Full-time

Job Details

Skills

Business Analyst
Pharmacy Benefits Management
PBM
Clinical
Pharmacists
First Data Bank (FDB) Drug
PBM Claims
Drug Utilization

Summary

Position: Business Analyst with Pharmacy Benefits Management

100% Remote

Hiring: W2 Contract / Fulltime

Job Description:

We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise and who will help guide the roadmap and feature enhancements for the PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) and the technical team (Developers and Testers primarily).

Minimum Qualifications:

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.
Candidate should have deep understanding of First Data Bank (FDB) Drug nomenclature and how to use FDB nomenclature in designing / configuring drug coverage (inclusions/exclusions/PA Criteria) or building Formulary / Preferred Drug Lists.
Candidate should have a good understanding of PBM Claims processing and related NCPDP standards (D.0 at least) and common business rules around Drug Utilization (ProDUR related).
College degree is preferred. Industry experience can be considered as substitute.
Candidates who have strong Clinical background e.g. Pharmacists.

Job Responsibilities:

Provide PBM Subject Matter Expertise for both (Development and Testing team) and non-stakeholders (e.g. Customers).
Own responsibility for configuring drug plan benefits (inclusions/exclusions/PA requirements) using PBM system.
Interact with business and clinical users to elicit and understand business requirements, Translate the requirements into appropriate format for consumption by Development and Testing team.
Good working knowledge on creating Process workflow or Use Cases, Powerpoint slides, Wireframes, Workflows using Microsoft Visio, Analyze data using Microsoft Excel is needed to be effective at Requirements management, Translating and simplifying requirements.
Document product features/requirements related documentation, prepare roadmaps (with aid of tools such as Visio, Power point).

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: hexaware
Position Id: 9056776
Posted 2 days ago

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Sagar Kumar

Talent Acquisition Specialist @ Hexaware Technologies, Inc

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Remote

•

25d ago

We are seeking to hire several Project Managers with expertise in Medicare/Medicaid system implementation projects, including specific expertise in PBM (Pharmacy Benefits Management), 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 health

Easy Apply

Full-time

Depends on Experience

PBM Medicaid Subject Matter Expert (SME)_ Remote

Remote

•

2d ago

Hiring: PBM Medicaid Subject Matter Expert (SME) Location: Remote We are seeking an experienced PBM Medicaid Subject Matter Expert (SME) with strong expertise in Medicaid Pharmacy Benefit Management (PBM), claims adjudication, and PBM implementation projects. This is a client-facing role supporting large-scale Medicaid PBM implementations, testing, and operational readiness initiatives. Key Responsibilities: Serve as the primary PBM SME for client discussions, workshops, solution validation, an

Easy Apply

Contract, Third Party

Depends on Experience

PMO Analyst with Medicaid/Medicare project experience, RAID expertise

Remote

•

24d ago

We are seeking to hire several PMO Analysts with experience in Federal or State level Healthcare / Medicare/Medicaid projects, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid Claims, Provider, and Pharmacy 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

Easy Apply

Full-time

Depends on Experience

Pharmacy Technician I

Remote

•

2d ago

The position and the compensation details are listed below:Client: AmeriHealth CaritasHourly Pay: $28.50/Hr. On W2Benefits: None. This is a temporary consulting/contract position without any benefits.Title: Prior Authorization Technician ILocation: Client is located Philadelphia, PA - 100% RemoteDuration: 3-month contractWork Mode: RemoteShift Position is remote. No time zone preference but shift times offered will be in EST time so candidates will need to adjust accordingly if in a different t

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Contract

25 - 28