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$80k - $100k
...employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers,...SuggestedFull timeWork at officeLocal areaRemote workFlexible hoursShift workJudi Health
Remote10 hours ago- ...culture that empowers you to make an impact? Responsible for coordinating NextRx compliance activities and initiatives across the PBM and the enterprise by maintaining department approved regulatory and legislative compliance plan and implementing effective internal...SuggestedContract workWork at office
- ...URGENT HIRING – SENIOR PRODUCT MANAGER | HEALTHCARE / PBM Location: Remote We are looking for strong Senior Product Manager profiles with extensive Healthcare domain experience. PBM experience is preferred/secondary. Must-Have Experience: 8+ years of IT...SuggestedRemote jobContract workTemporary work
$96.25k - $125k
...make a difference and be part of a culture where individuality is noticed and valued every day. Senior Java Developer – Healthcare / PBM Platform (Remote) Are you an experienced Java developer who enjoys building high-performance applications? Do you thrive in...SuggestedRemote jobFull timeWork from homeFlexible hours$65k - $85k
...ABOUT THE ROLE: Our pharmacy benefit management (PBM) offering represents an important growth area for Rightway. Helping clients better manage pharmacy spend to make drugs more affordable for their employees and dependents is critical to their business sustainability...SuggestedFull timeShift workNight shiftRightway
Remote2 days ago$106.9k - $147k
...This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a PBM HIT Technology Implementation Lead based in the United States. This is a remote leadership opportunity focused on bringing innovative...SuggestedFull timeContract workTemporary workRemote workHome officeJobgether
Remote2 days ago$106.9k - $147k
...candidate will be responsible for opportunity evaluation, planning oversight, coordinating execution of new vendor contracts related to PBM HIT initiatives. You will work and collaborate with leaders across the Humana enterprise, HPS executive leaders and have extensive...SuggestedFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Remote2 days ago- Role Description The Principal Architect - PBM Modernization & AI Engineering is a senior architecture leader responsible for designing and delivering modern technology solutions that accelerate the transformation of the Pharmacy Benefit Management (PBM) ecosystem. As...SuggestedFull timeWork from home
The Cigna Group
Remote3 days ago $75.4k - $182.55k
Role Description As the PBM Data Enablement Data Owner, you'll take ownership of the data strategy for your assigned domain(s), ensuring that the domain’s data drives value across the organization. Together with the Technology Data Steward, you'll create a comprehensive...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaCVS Health
Remote4 days ago$208.07k - $395.34k
Role Description The Vice President, Network & PBM Strategy is a senior leader responsible for defining and executing enterprise network, payer, contracting, underwriting, and operational strategies across the PBM business. This role establishes vision, sets priorities,...SuggestedFull timeContract workMedImpact Healthcare Systems, Inc.
Remote3 days ago- ...collaborating cross-functionally in a supportive work environment. About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the...SuggestedFull timeContract workWork experience placementWork at officeRemote work
Medone Pharmacy Benefit Solutions
Remote10 hours ago $85k - $120k
...technical audiences. PREFERRED WORK EXPERIENCE/SKILLS * Experience supporting enterprise healthcare technology, pharmacy technology, PBM, claims processing, healthcare data exchange, or SaaS platforms. * Familiarity with NCPDP standards, BIN/PCN, claims adjudication,...SuggestedFull timeWork experience placementWork at officeRemote workHome officeRedsail Technologies
Remote10 hours ago- ...and clients, driving innovation and patient care at MedOne. About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most...SuggestedFull timeWork at officeRemote work
Medone Pharmacy Benefit Solutions
Remote10 hours ago - ...data governance, role-based security, Git, CI/CD pipelines, and modern software development practices preferred. ~ Experience within PBM, healthcare, pharmacy claims, 340B, rebate, or claims adjudication environments preferred. ~ Experience using AI-assisted...SuggestedRemote jobFull timeFlexible hours
- ...looking for a Compliance Analyst to assist in all operational aspects of implementing a highly-effective compliance program in a dynamic PBM regulatory landscape. This position will focus on successful remediation of identified non-compliance with regulatory requirements...SuggestedFull timeWork experience placementRemote workHome office
SmithRx
Remote9 hours agonew - ...quantitative discipline required; master’s degree or relevant coursework preferred. ~ Experience working with healthcare data, pharmacy/PBM data, medical claims, financial data, or similarly complex data sets ~ Working knowledge of SQL for data extraction, querying,...Full time
EPIC Insurance Brokers & Consultants
Remote10 days ago $74.69k - $97k
...noticed and valued every day. Project Coordinator (Remote) About this role: We are seeking an experienced Project Manager with PBM implementation experience to oversee the successful delivery of IT projects from inception through implementation. This role is...Remote jobFull timeWork from homeFlexible hours- ...quantitative discipline required; master’s degree or relevant coursework preferred. ~ Experience working with healthcare data, pharmacy/PBM data, medical claims, financial data, or similarly complex data sets ~ Working knowledge of SQL for data extraction, querying,...Full time
Pharmaceutical Strategies Group
Remote17 days ago - ...overseeing all aspects of the health plan solution and TPA services — including member engagement and customer service, claims processing, PBM, provider network arrangements, and employer analytics and reporting. Ensure a new client's seamless transition from...Full timeWork at officeRemote work
Centivo
Remote2 days ago - ...nationwide to ensure our membership has access to the best pharmacy benefits available. We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do-and our population health...Full timeWork at officeFlexible hours
$114.62k - $206.32k
...clear manner. Ability to dynamically identify challenges and creatively develop solutions using a consultative sales approach. PBM experience required. Reasoning Ability ~ Ability to solve practical problems and deal with a variety of concrete variables in situations...Contract workWork at officeRemote workMonday to FridayShift workNight shiftWeekend work$20 per hour
...Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution,...Full timeTemporary workWork experience placementMonday to FridayFlexible hours$71.61k - $119.95k
...and the greatness you can bring to our teams, please submit your resume to MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures,...Full timeWork at officeRemote workMonday to FridayNight shiftWeekend work$90.9k - $129.9k
...pharmacy programs, drug utilization review, and regulatory requirements ~ Experience with Medicaid/Medicare pharmacy programs or PBM environments preferred ~ Strong analytical, communication, and stakeholder engagement skills What you should expect in this...Full timeRemote workFlexible hours- ...automation ~ Familiarity with data modeling, data vault, or warehouse monitoring and alerting ~ Healthcare, pharmacy benefit management (PBM), or claims/eligibility data exposure, and awareness of PHI/HIPAA handling ~ Familiarity with pharmacy data concepts (NDC,...Full timeRemote workWork from home
AffirmedRx
Remote10 days ago - ...consistent with our values ~10-20% travel required based on season and business need What you will bring to SmithRx: ~8+ years PBM experience working with consultants ~ Prior experience at a pharmacy consulting firm preferred ~ Experience in a high growth,...Full timeTemporary workWork at officeFlexible hours
SmithRx
Remote10 days ago - ...we do. Percona ClusterSync for MongoDB (PCSM) clones and continuously replicates data between clusters. Percona Backup for MongoDB (PBM) is a distributed, low-impact backup and restore solution for replica sets and sharded clusters. Both are written in Go , both are...Full timeWork at officeRemote workFlexible hours
Percona
Remote10 days ago - ...consistent with our values ~10-20% travel required based on season and business need What you will bring to SmithRx: ~8+ years PBM experience working with consultants ~ Prior experience at a pharmacy consulting firm preferred ~ Experience in a high growth,...Temporary workWork at officeFlexible hours
SmithRx
Remote14 days ago - ...automation ~ Familiarity with data modeling, data vault, or warehouse monitoring and alerting ~ Healthcare, pharmacy benefit management (PBM), or claims/eligibility data exposure, and awareness of PHI/HIPAA handling ~ Familiarity with pharmacy data concepts (NDC,...Full timeRemote workWork from home
AffirmedRx
Remote17 days ago - ...receiving feedback from the direct supervisor to support continuous improvement. Experience Previous experience in Managed Care/PBM environment (preferred). Position Summary As a Clinical Pharmacist Advisor Medicare you will be directly supporting Medicare...Full timeLive inWork from homeMonday to FridayShift work
Apidel Technologies
Remote13 hours ago
