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PBM / RX Claims Test Analyst - Remote - Contract

Remote

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Today

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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Contract

$30 - $40

PBM Program Director -- W2 ONLY

Remote

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5d ago

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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Contract

Depends on Experience

Financial Modeling Analyst PBM

Remote

•

Today

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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Third Party, Contract

Depends on Experience

PBM Rebates Data Analyst

Remote

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6d ago

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

Full-time

Depends on Experience

PBM Strategy and Implementation Consultant

Remote

•

Today

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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Contract

Depends on Experience

PBM Supply Chain & Contracts SME

Remote or Hybrid in Owings Mills, Maryland

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22d ago

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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Contract

Depends on Experience

Business Analyst Specialty Pharma & PBM Experience

Remote

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19d ago

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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Contract

$50 - $55

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

Remote

•

Today

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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Contract

Depends on Experience

BRM/BenefitAnalystMedicareClaims(PBM/RxClaims)

Remote

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Today

Position: BRM / Benefit Analyst Medicare Claims (PBM/RxClaims) Location: 100% Remote Duration: 12+ Months Contract (W2) Rate: $32/hr on W2 We are looking for an experienced BRM / Benefit Analyst with strong RxClaims and PBM domain expertise to join a fast-paced project in the healthcare space. Key Requirements: Hands-on experience with Rx Claims processingStrong understanding of PBM (Pharmacy Benefit Management)Excellent knowledge of ExcelProficient in creating Functional Specs, reviewing XMLs,

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Contract

$32

PBM Project Manager

Remote or Hybrid in Minnesota

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Today

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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Contract

$50-$60 an hour

PBM Data Engineer

Remote or Scottsdale, Arizona

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Today

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Full-time

USD 72,100.00 - 158,620.00 per year

Rx-Claims Test Analyst

Remote

•

Today

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

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Contract, Third Party

Depends on Experience

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)

Remote

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30+d ago

Financial Modeling & Analysis SME (Pharmacy, Finance, Actuarial)Elite Technical is seeking a Financial Modeling & Analysis SME with specific knowledge around PBM Rebates and discount modeling! This role provides critical support for financial modeling and forecasting related to pharmacy programs. Responsibilities include: - Monitor and analyze market, clinical, legislative and regulatory data and events to assess the financial impact of proposed and ongoing pharmacy programs. - Support financia

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Contract

$67

Financial Pharmacy Benefits Management

Remote or Hybrid in Baltimore, Maryland

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Today

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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Contract

Depends on Experience

IT Migration Data Analyst Support-GX

Remote

•

Today

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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Contract, Third Party

IT Migration Data Analyst Support

Remote

•

Today

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

Contract, Third Party

Remote - Kogito Developer

Remote

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7d 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

Remote - Product Manager [Health Tech & Pharmacy Benefits Management]

Remote

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20d ago

Job Title: Product Manager Healthcare Technology and Pharmacy Benefits Management (PBM) Location: Remote - United States Position Type: Contract (12+ months) on W2 Compensation: $50-$55/hour dependent on experience Overview: We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functi

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Contract

$50 - $55

Program Manager - (Pharmacy Benefit Manager)

Remote

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5d ago

Note : We need applicants to work on our W2, Contract or C2c is not workable !! Role: Program Manager Location: 100% remote, candidates MUST reside in DC, MD, VA, WV, PA, DE, NJ, NC, NY, FL, TX Duration: 12 months Job description Client is looking for a Director-level Program Manager to support a large-scale PBM (Pharmacy Benefit Manager) transition initiative. This resource will be responsible for leading and coordinating internal Client efforts across six (and eventually seven) workstreams. T

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Contract

Depends on Experience

Financial Health Care Executive for Pharmacy Benefits Program

Remote or Hybrid in Baltimore, Maryland

•

Today

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp

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Contract

Depends on Experience

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