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RxCLAIM SME(Business / Systems Analysis)

Remote

•

2d ago

Role: RxCLAIM SME Location: Remote Required: Minimum of 8+ years' experience in PBM operations, with direct involvement in plan design and configuration. Deep expertise in RxCLAIM or comparable adjudication systems. Familiarity with NCPDP standards and formulary management. Strong understanding of Commercial & Medicare benefit structures involving Formularies/Drug lists, Pharmacy Networks and Pricing (Client/Pharmacy) Excellent analytical and documentation skills, with ability to translate busin

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Contract, Third Party

Depends on Experience

Encounters System Analyst

Dayton, Ohio

•

Today

Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program

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Full-time

Sr. Data Management Analyst

Remote or Irving, Texas

•

Today

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patien

Full-time

USD 110,300.00 - 183,800.00 per year

PBM Analyst - Pharmacy Benefits Management - data analytics

Remote

•

3d ago

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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Full-time

$80,000 - $100,000

IBM Transformation Extender (ITX) Specialist

Remote or Hybrid

•

Yesterday

Job Title: IBM Transformation Extender (ITX) Specialist Location: Remote (work from home) Duration: 1+ year Contract Job Description As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interop

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Third Party, Contract

$DOE

Remote Position || Sr. Business Analyst (PBM Domain and RxCLAIM experience)

Remote

•

2d ago

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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Contract

Depends on Experience

RxCLAIM SME

Remote

•

Today

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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Contract

Technical Product Manager

Remote

•

20d ago

Role : Technical Product Manager Location : Remote JD: Key Responsibilities Develop and execute product strategies, roadmaps, and technical requirements.Collaborate with engineering, design, and business teams to deliver scalable solutions.Analyze market trends, customer feedback, and competitive landscapes.Translate business objectives into actionable technical and product features.Ensure optimal performance, security, and scalability of products.Manage product lifecycle from concept to deploym

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Contract, Third Party

$70 - $80

Business Analyst Specialty Pharma & PBM Experience

Remote

•

23d 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

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