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Principal TPM – PBM Benefit Data Integrations
Location
Virginia + 4 moreAll locations: Virginia, Washington, West Virginia, Wisconsin, Wyoming
Posted
11 days ago
Salary
$148K - $205K / year
Job Description
Job Requirements
- Bachelor’s degree in Statistics, Mathematics, Engineering, Computer Science, Business Analytics, or related quantitative field (required).
- 10+ years of progressive experience in healthcare analytics, PBM operations, data integration, or business systems analysis (required).
- Experience within a PBM or healthcare claims processing environment (required).
- Deep expertise in PBM benefit configuration, adjudication logic, eligibility, and accumulator integrations.
- Advanced proficiency in SQL (advanced querying and data investigation)
- Experience managing delivery timelines, risks, dependencies, and remediation coordination.
- Working knowledge of ANSI/NCPDP Telecommunication Standard
- Working understanding of PBM or TPA claim processing
- Experience with data ETL processes and file delivery mechanisms (SFTP, PGP)
- Experience with job scheduling automation and alerting tools
- Microsoft Azure cloud experience, including blob storage
- Familiarity with C#, Java, JavaScript, Python, or R preferred
- Integration testing and UAT coordination experience
Benefits
- Flexible time off, including 12 paid holidays
- 401k match plus 100% employer paid medical, dental, and vision
- Company contribution to Health Savings Account
- Stock options
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