Senior Pharmacy Adjudication & Affordability Expert
Jobtailor
Jobtailor is seeking a subject matter expert in prescription adjudication in Connecticut. The role emphasizes COB sequencing rules, NCPDP standards, and plan design constraints across PBM, retail, and third-party affordability programs to optimize patient benefits. You will partner with senior leadership to translate affordability strategies into executable adjudication logic, support curated affordability journeys, and drive end-to-end execution including requirements refinement and UAT #J-18808-Ljbffr Jobtailor
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Pharmacy Adjudication & Affordability Expert in Hartford, CT vacancy
- Minimum years of experience required: 6+ years Certification needed: Not mandatory Must Have Skills Medicaid EDI 837 Claims Adjudication Expertise in QNXT with CXT Edits. US Healthcare Provider Contracting and Demographics Expertise. Medicaid Healthcare Plans Configuration...SuggestedWork experience placement
- Jobtailor in Connecticut seeks a senior Java lead to design and implement RESTful APIs using Spring Boot, aligning with OpenAPI standards and versioning. You will guide architecture for microservices, integrate with Azure messaging and event services, and drive secure...Senior
- CVS Health is seeking a Lead Director, Healthcare Affordability Strategy to drive ideation and execution of affordability initiatives across the Aetna enterprise. This role reports to the Executive Director, Affordability Program Management and leads initiatives across...Senior
- A leading technology manufacturer is looking for a Buyer II to join their Data Power and Control Team in Connecticut. This role involves managing purchase orders, ensuring delivery of products, and maintaining strong vendor relationships. The ideal candidate will have a...SeniorFull time
- A leading hospitality company in Connecticut is looking for a Master Cook to prepare food for service and set up cooking lines. This role requires culinary experience in high-volume operations, effective communication skills, and knowledge of kitchen equipment. Ideal candidates...Senior
- V2X Professional Services (VPS) is seeking an experienced Instructional Systems Designer (ISD) for the East Hartford/Middletown, CT area. You will analyze, design, and develop learning solutions across media, provide adult learning guidance, and maintain training platforms...Senior
- Travelers is hiring a Senior Accountant in Hartford, CT to manage moderately complex financial and regulatory reporting tasks. You will validate EFTs, reconcile Canadian claim data, and support internal controls and SOX processes. The role emphasizes collaboration with...Senior
- A hospitality company in Uncasville, CT is seeking a Master Cook to prepare food, set up cooking lines, and fill customer orders. The ideal candidate will have at least four years of culinary experience in a high-volume setting or equivalent training. Responsibilities include...SeniorShift work
- Mohegan Sun in Uncasville, CT is seeking a Master Cook for Bobby Burgers to set up the cooking line and prepare food for high-volume service. You will follow recipes, protect confidentiality of proprietary sauces, and ensure quality plating. Applicants should have four ...SeniorFlexible hours
- Jobtailor is seeking a seasoned tax professional to lead client engagements from planning through budgeting and completion. You will supervise staff, review returns, and identify opportunities to enhance tax savings for clients. The role requires strong ASC 740 and US GAAP...Senior
- Alice Rose is seeking an experienced Construction Project Manager to lead affordable housing renovation projects across Connecticut. The role covers pre-construction through closeout, ensuring safety, schedule, budget, and quality. Projects include multifamily renovations...SeniorFor contractors
- ...overseeing technicians, and ensuring compliant medication management across departments. The position requires CT Pharmacist licensure, BS in Pharmacy (PharmD preferred), and hospital pharmacy experience including PGY residencies. #J-18808-Ljbffr Connecticut Children's
- A leading technology firm is seeking an experienced Program Manager with over 10 years of program management experience, particularly in the P&C insurance domain. The successful candidate will lead diverse IT project teams and be proficient in Agile methodologies and project...Senior
- Jobtailor in Connecticut seeks an experienced SAP Manufacturing Business Analyst to join our team and translate production requirements into SAP PP, MRP, EAM, and QM configurations. You will drive end-to-end manufacturing improvements and lead cross-functional initiatives...Senior
- ...Children’s NICU Pharmacist role in Hartford focuses on optimizing neonatal drug therapy, rounding with the care team, and guiding pharmacy staff. The position requires leadership in medication management and collaboration across departments to ensure safe, evidence-based...
- A leading consulting firm is looking for an experienced ETL Architect to design and implement ETL/ELT architecture using Snowflake. The ideal candidate will have over 10 years in ETL/ELT development, strong expertise in Snowflake, and proficiency in tools like Informatica...Senior
- Pratt & Whitney's Military Engines Earned Value Analysis & Reporting (EVA&R) organization seeks a Senior Analyst to join the PMO and Engineering customers. You will guide project management, budgeting, scheduling, and variance analysis for Military Engines programs. The...Senior
- Swift Textile Metalizing LLC in Bloomfield, Connecticut, is seeking a Site Controller to lead financial analysis and accounting operations. The role includes managing compliance with GAAP and ASC 606 standards while ensuring accurate financial reporting. The ideal candidate...Senior
- MissionHires is seeking a Tier 2 IT Support Specialist in Manchester, Connecticut, to provide advanced troubleshooting and support in a fast-paced environment. Ideal candidates should have strong RMM experience, excellent customer service skills, and familiarity with specialized...Senior
- Jobtailor in Farmington, CT is seeking a claims professional to make timely STD/AM decisions and manage complex cases. You will document cases, collaborate with internal partners, and mentor new staff while upholding regulatory requirements. A strong background in disability...Senior
- Blue Shield of California is seeking a Sr. Manager, Program and Project Management to lead the pharmacy accounts and sales support team, driving growth in employer group memberships and client renewals for fully insured and self-funded plans. You will report to the Director...Senior
- CVS Health is seeking a Senior Analyst within the Pharmacy Services Finance Intelligence organization. You will own assigned project requests from intake through delivery, partnering with stakeholders to define requirements and ensure readiness before development begins...Senior
- CVS Health’s Pharmacy Services division seeks a Finance Analyst to support end-to-end financial planning, forecasting, and performance management for Large Client accounts. You will contribute to operating plans, budgets, and quarterly forecasts, and build models to evaluate...Senior
- ...Certification and have a minimum of 5 years in related experience. Strong collaborative skills across clinical and IT teams are essential. This position offers potential for long-term engagement and contributes to impactful pharmacy initiatives. #J-18808-Ljbffr Motion RecruitmentSeniorRemote jobContract work
- CVS Health is seeking a Senior Analyst, FP&A for Large Client Revenue, COGS & Network Performance. You will support end-to-end financial... ...management for Large Client accounts within CVS Health's Pharmacy Services business. You will develop budgets, perform variance analysis...Senior
- The Principal Project Manager in Pharmacy Benefits at Blue Shield of CA leads end-to-end cross-functional programs spanning operations, technology, and vendor collaborations. You will oversee regulatory readiness, ensure timely delivery, and drive strategic initiatives...Senior
$71.1k - $97.8k
...caring community We're looking for a Senior workforce planning analyst to own and elevate... ...(WFM) Planning team supporting multiple pharmacy departments. You won't just run the... ...millions of members with safe, convenient, and affordable access to medications. Behind every...SeniorFull timeTemporary workApprenticeshipSeasonal workWork at officeRemote workWork from homeHome officeCenterwell
Hartford, CT1 day ago- CVS Health is seeking a Senior Analyst, FP&A - Large Client Revenue, COGS & Network Performance, to lead end-to-end financial planning... ...management for Large Client accounts within CVS Health’s Pharmacy Services business. You will model margins, analyze drivers, and...Senior
$100k
...opportunity to build a meaningful, purpose-driven career. Estate planning is a need-based product, not a discretionary purchase. Our affordable solutions help families protect their assets and plan for the futuremaking this a rewarding role both professionally and...Night shiftWeekend work- Jobtailor in Connecticut is seeking an experienced financial professional to drive reporting, budgeting and forecasting for client contracts. You will deliver quarterly and annual statements, analyze expenses, and support accounting entries. Ideal candidates have 3-5 years...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Pharmacy Adjudication & Affordability Expert. Be the first to apply!
Related searches
- srs distribution Hartford, CT
- senior associate architect Hartford, CT
- senior dynamics crm developer Hartford, CT
- senior application security Hartford, CT
- senior account director Hartford, CT
- senior supervisor Hartford, CT
- senior advisor Hartford, CT
- senior cloud data engineer Hartford, CT
- senior customer service manager Hartford, CT
- senior Hartford, CT