AS/400 COBOL Tech Lead - Pharmacy Claims
Saransh Inc
A leading IT solutions company is seeking an experienced Technical Lead with over 8 years of expertise in COBOL/400, AS400, and CLLE. Ideal candidates should have domain experience in Medicare & Medicaid Claims. The role involves contributing to Rxclaim development projects and requires knowledge of offshore-onshore collaboration. The position promises a challenging environment and opportunities for professional growth. #J-18808-Ljbffr Saransh Inc
- We are seeking technical lead with 8+ years of experience to join our team. The ideal candidate will have expertise in COBOL/400, AS400 and CLLE along with domain experience in Medicare & Medicaid Claims, Claims, and Payer. This role requires a proactive individual who...ClaimsCobol
- ...Senior Hogan Systems Engineer in New York City. The role requires expert proficiency in Hogan applications with advanced skills in COBOL and relevant programming languages. Candidates should have over 10 years of experience in IT delivery and architecture design. Comprehensive...Cobol
- ...Contract Responsibilities 6+ years of experience in AS400 + Synon + Rx Claim. Experience in Rx CLAIM PBM application (Adjudication) is... ...real work experience in Healthcare domain. Should be able to read COBOL/400 code for analysis and debugging. CLLE, CL/400, SQL/400,...ClaimsCobolLong term contractContract workWork experience placementRemote work
$20 - $21 per hour
...About the Role We are seeking a detail-oriented and motivated Pharmacy Technician Authorization Specialist to join our remote team. In... ...authorizations. Navigate pharmacy dispensing systems to adjudicate claims, process refills, and support patient adherence. Work directly...ClaimsFull timeRemote workFlexible hours$140k - $180k
Dormont Manufacturing Co is looking for an Application Tech Lead in Kentucky to drive the technical delivery of core P&C insurance systems... ...application delivery, particularly with underwriting and claims systems and a strong background in .NET and Python development....ClaimsRemote job$147.43k
...digital software applications and platforms to support prescription, claim, and other healthcare processes. Telecommuting is available.... ...following technologies and activities: Java, Python, or Node.js COBOL and JCL IBM DB2, Oracle, or Hibernate SQL, MS Access, or MS...ClaimsCobolTemporary workLocal areaRemote work- ...Model, Dispute management, Customer life cycle management, Treasury Operation, Payment operations, Card operations, Loan operation, Claims processing. Experience of working in ServiceNow FSO Projects and with experience on Requirements Gathering, Agile/Sprint Planning,...Claims
$89.9k - $160.6k
...directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ...with Python using Pandas, and Spark 2+ years of Healthcare Claims data experience Experience working with cloud platforms...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work$140k - $180k
...business’s unique risks. Role Overview We are seeking an Application Tech Lead to drive the technical delivery, modernization, and operational... ...of core P&C insurance systems supporting Underwriting and Claims. This role combines solution architecture, hands‑on engineering...ClaimsTemporary workLocal areaRemote workFlexible hours$110k - $130k
...a year and are used by more than 420,000 prescribers, 71,000 pharmacies, 270 EHRs and health information systems, and over 2,000 hospitals... ...or checks for deposit. If you encounter any communications claiming to be from DrFirst that seem suspicious, please contact our recruitment...ClaimsTemporary workRemote workFlexible hours$40 - $45 per hour
...highly recommended Nice to haves: Healthcare Claims Experience A bachelor's degree in Computer... ..., Have Candid Conversations with Care, Lead With Authenticity & Vulnerability, Try New... ...technologies like Oracle, SQL, Unix Scripting, Cobol, and Control-M. The goal is to identify...ClaimsCobolContract workRemote workShift work$144.2k - $288.4k
...Principal Solutions Architect , you will lead enterprise‑wide architecture strategy and... ...critical capabilities—particularly within claims and payment processing across Commercial,... ...least one programming language (Java, .NET; COBOL exposure is a plus) Cloud architecture certifications...ClaimsCobolFull timeLocal areaRemote work$750 per month
...is defining the “new norm” in specialty pharmacy to optimize patient well‑being through our... ...Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty... ...? Responsible for ongoing monitoring of claims activity for accuracy and successful submission...ClaimsTraineeshipRemote workFlexible hours- Dormont Manufacturing Co is seeking a Global Head of Technical Claims to oversee the claims function across multi-line Property & Casualty portfolios. The role requires a proven leader with over 15 years of technical claims expertise who can drive improvements, influence...Claims
- Job Summary The Pharmacy QA Specialist plays a critical role in the pharmacy review process, supporting PBM clients by ensuring... ...thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability,...ClaimsRemote jobTemporary workWork at officeWork from home
- ...Must‑Have Qualifications 1+ year of experience as a Pharmacy Technician High school diploma or GED State‑registered or state‑certified... ...PTCB or NHA or CPht) Experience with prior authorizations or test claims Preferred Qualifications National CPhT certification (PTCB or...Claims
$70k - $87k
Pharmacy Rebate Analyst - Berwyn, PA (Hybrid) AscellaHealth is hiring a mid‑level Pharmacy... ...opportunities. Rebate Data Management & Reporting Lead the preparation, validation, and delivery... ..., and audit checks across rebate, claims, and financial datasets. Maintain clear...ClaimsFull timeContract workWork at officeLocal areaRemote work- ...distributed technologies and AI tools. Key Responsibilities: Lead the implementation and management of mainframe systems, ensuring... .... Utilize expertise in mainframe technologies such as Cobol, CICS, DB2, VSAM, MQ messaging, Stored procedures, DB2 Utilities...Cobol
- ...A medical equipment and pharmacy company located in New York is seeking a biller to manage data entry, billing, and collections. This entry-level position involves overseeing the medical claims process, working with insurance carriers, and tracking Key Performance Indicators...Claims
- ...are seeking a Vice President of Sales to lead our growth strategy, drive net-new business... ..., formulary strategies, and specialty pharmacy, allowing you to build immediate credibility... .... We process over 200,000 insurance claims annually for leading national and regional...ClaimsContract workTemporary workImmediate startRemote workWork from home
- ...Pharmacy/Durable Medical Equipment (DME) company is looking for a biller to conduct data entry, billing and collections... ...be proficient with managing all aspects of the medical claims process, and be willing to lead by example. This will involve sharing duties of calling...Claims
$65k - $72k
...Credentialing & Medicaid Specialist – Specialty Pharmacy $65,000–$72,000 (flexible based on experience) Fully Remote (Working EST... ...closely with the Billing team to resolve enrollment issues impacting claims Route and manage provider and payer communications...ClaimsContract workRemote workFlexible hours$40 - $43 per hour
...Pharmacy Resident Job Location: New York City, NY Pay Range: $40/Hr - $43/Hr Job Summary The Pharmacy resident is responsible... ...Experience in the evaluation and interpretation of pharmacy claims data and other clinical data is preferred. Position requires...ClaimsHourly pay$19.01 - $23.72 per hour
A healthcare organization is seeking a Pharmacy Technician to provide front-line staff guidance and ensure efficient delivery of pharmacy... ...have strong communication skills and a background in pharmacy claims processing. Competitive pay range from $19.01 to $23.72 per...ClaimsHourly pay$70 - $72 per hour
...distributed technologies and AI tools. Key Responsibilities: Lead the implementation and management of mainframe systems, ensuring... .... Utilize expertise in mainframe technologies such as Cobol, CICS, DB2, VSAM, MQ messaging, Stored procedures, DB2 Utilities...Cobol- ...Cobol Developer Brooklyn, NY 36 months Mandatory Qualifications: Minimum of five (5) years of recent experience developing applications using Cobol for CICS and batch programs. Experience working with VSAM files and DB2, integrating existing designs with...Cobol
- ...a Clinical Pharmacist/Analyst in Kentucky to analyze customer claims data, assess plan performance, and identify opportunities for savings... ...and 5+ years in a clinical analysis role, specifically in pharmacy benefits management. The position will involve extensive data research...Claims
$65 per hour
...Responsibilities Conduct telephonic consultations and schedule appointments for members enrolled in clinical programs. Utilize prescription claims data to provide clinical recommendations under MTM and Retrospective Drug Utilization Review protocols. Identify gaps in care, high...ClaimsContract workRemote workMonday to FridayRotating shift- PRIME Therapeutics is hiring a Sr. Data Solution Product Owner to lead in an agile environment focused on pharmacy claims data. You will be responsible for driving key product outcomes, managing product discovery, and collaborating with stakeholders. The ideal candidate...Claims
- ...Research Institute is seeking a Mainframe Application Developer in Jersey City, NJ. This onsite role requires a strong expertise in COBOL and experience in maintaining and enhancing mainframe applications. Key responsibilities include application development, system maintenance...Cobol
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