Ensure compliance with HIPAA, PHI, NCPDP and healthcare data governance requirements while maintaining data integrity and security. * Monitor system performance, data quality, and integration health ...
Quick apply
Ensure compliance with HIPAA, PHI, NCPDP and healthcare data governance requirements while maintaining data integrity and security. * Monitor system performance, data quality, and integration health ...
Quick apply
Ensure compliance with HIPAA, PHI, NCPDP and healthcare data governance requirements while maintaining data integrity and security. * Monitor system performance, data quality, and integration health ...
... 999, 820, NCPDP D.0 • Develop and execute test scripts related to X12 Transmission Conducts QA and Testing on EDI applications Develop and execute Test scripts related to X12 Transmission ...
New
... 999, 820, NCPDP D.0 • Develop and execute test scripts related to X12 Transmission Conducts QA and Testing on EDI applications Develop and execute Test scripts related to X12 Transmission ...
New
Alameda, CA · On-site
EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information Please send your updated resume to rjuarez @quantixinc. com or you can reach me at ...
Alameda, CA · On-site
EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information Please send your updated resume to rjuarez @quantixinc. com or you can reach me at ...
Dallas, TX · On-site
$102K - $138K/yr
Experience in healthcare domains (PBM, NCPDP, HIPAA)
Dallas, TX · On-site
$102K - $138K/yr
Experience in healthcare domains (PBM, NCPDP, HIPAA)
Dallas, TX · On-site
$102K - $138K/yr
Experience in healthcare domains (PBM, NCPDP, HIPAA)
Dallas, TX · On-site
$102K - $138K/yr
Experience in healthcare domains (PBM, NCPDP, HIPAA)
Valencia, CA · On-site
$61.50 - $80/hr
Deep understanding of prior authorization workflows , interoperability (HL7 FHIR, X12, NCPDP) , and clinical guidelines . * Hands-on experience with EHR, claims, and benefit management systems
Quick apply
Valencia, CA · On-site
$61.50 - $80/hr
Deep understanding of prior authorization workflows , interoperability (HL7 FHIR, X12, NCPDP) , and clinical guidelines . * Hands-on experience with EHR, claims, and benefit management systems
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
Phoenix, AZ · On-site
$100K - $136K/yr
Harmonize healthcare data using FHIR/HL7/C‑CDA, X12/EDI 837/835, NCPDP, and CMS standards; reconcile and link records across EHR and HIE sources. Analytics & Machine Learning * Build ML pipelines ...
Phoenix, AZ · On-site
$100K - $136K/yr
Harmonize healthcare data using FHIR/HL7/C‑CDA, X12/EDI 837/835, NCPDP, and CMS standards; reconcile and link records across EHR and HIE sources. Analytics & Machine Learning * Build ML pipelines ...
NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations. * Experience working with PBMs such ...
NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations. * Experience working with PBMs such ...
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Dallas, TX · On-site
$95K - $135K/yr
Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems. * Serve as ...
Dallas, TX · On-site
$95K - $135K/yr
Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems. * Serve as ...
Austin, TX · On-site
$95K - $135K/yr
Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems. * Serve as ...
Austin, TX · On-site
$95K - $135K/yr
Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems. * Serve as ...
$160K - $200K/yr
Become a deep domain expert in complex healthcare systems -- EHRs, payer portals, PBM formularies, NCPDP transactions -- even when documentation is poor or nonexistent. Then translate that knowledge ...
$160K - $200K/yr
Become a deep domain expert in complex healthcare systems -- EHRs, payer portals, PBM formularies, NCPDP transactions -- even when documentation is poor or nonexistent. Then translate that knowledge ...
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Phoenix, AZ · Remote
$100K - $136K/yr
Harmonize healthcare data using FHIR/HL7/CCDA, X12/EDI 837/835, NCPDP, and CMS standards; reconcile and link records across EHR and HIE sources. Analytics & Machine Learning * Build ML pipelines for ...
Phoenix, AZ · Remote
$100K - $136K/yr
Harmonize healthcare data using FHIR/HL7/CCDA, X12/EDI 837/835, NCPDP, and CMS standards; reconcile and link records across EHR and HIE sources. Analytics & Machine Learning * Build ML pipelines for ...
Menlo Park, CA · On-site
$160K - $200K/yr
Become a deep domain expert in complex healthcare systems - EHRs, payer portals, PBM formularies, NCPDP transactions - even when documentation is poor or nonexistent. Then translate that knowledge ...
Menlo Park, CA · On-site
$160K - $200K/yr
Become a deep domain expert in complex healthcare systems - EHRs, payer portals, PBM formularies, NCPDP transactions - even when documentation is poor or nonexistent. Then translate that knowledge ...
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Woonsocket, RI · On-site
$62.25 - $73.25/hr
NCPDP standards and transaction logic * Plan design constraints across PBM, retail, and third-party affordability programs * Design, configure, and optimize complex plan sequencing strategies that:
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
Quick apply
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
... NCPDP and healthcare data governance requirements while maintaining data integrity and security. • Monitor system performance, data quality, and integration health, proactively identifying ...
... NCPDP and healthcare data governance requirements while maintaining data integrity and security. • Monitor system performance, data quality, and integration health, proactively identifying ...
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
Support productization of key data assets such as 844, 867, 852, HIN, DEA, NPI, NCPDP, 340B, and related Life Sciences commercial data sets. * QA / UAT Leadership: Define test scenarios, coordinate ...
$14.18 - $15.10
2% of jobs
$15.10 - $16.02
6% of jobs
$16.02 - $16.94
3% of jobs
$16.94 - $17.85
5% of jobs
$17.85 - $18.77
7% of jobs
$18.83 is the 25th percentile. Wages below this are outliers.
$18.77 - $19.69
13% of jobs
The median wage is $20.36 / hr.
$19.69 - $20.61
18% of jobs
$20.61 - $21.53
17% of jobs
$21.82 is the 75th percentile. Wages above this are outliers.
$21.53 - $22.44
11% of jobs
$22.44 - $23.36
9% of jobs
$23.36 - $24.28
8% of jobs
$14
$20
$24
An NCPDP job typically involves working with the National Council for Prescription Drug Programs (NCPDP) standards, which help facilitate electronic healthcare transactions, such as pharmacy claims and eligibility verification. Professionals in these roles may work for pharmacies, healthcare IT companies, or insurance providers, ensuring compliance with NCPDP standards and optimizing healthcare data exchanges. Responsibilities can include data management, claims processing, regulatory compliance, and system integration.
When working with NCPDP standards in a healthcare IT or pharmacy environment, your primary responsibilities usually involve ensuring the accurate exchange of pharmacy-related data between healthcare providers, pharmacies, and payers. This often includes maintaining compliance with NCPDP SCRIPT or Telecommunication standards, troubleshooting data transmission issues, and collaborating with technical and clinical teams to implement or update electronic prescribing systems. You may also be tasked with interpreting regulatory requirements, supporting EHR integration, and participating in workflow optimization projects. This role requires keen attention to detail, a focus on data quality, and regular communication with both internal stakeholders and external partners.
The term 'Ncpdp' refers to the National Council for Prescription Drug Programs, not a specific professional job title. Typically, professionals interacting with NCPDP data or standards require expertise in healthcare data exchange, pharmacy operations, and regulatory compliance. Familiarity with NCPDP SCRIPT standards, electronic prescribing systems, and healthcare information technology systems is often necessary. Strong attention to detail, effective communication, and analytical problem-solving skills help ensure accurate implementation and maintenance of pharmacy data standards.

7.5
Based on 11 frontline employees who took The Breakroom Quiz
33rd of 111 rated pharmacies
Job Summary/Objective
The Pharmacy Systems & Data Lead serves as the technical owner of pharmacy systems, integrations, and data platforms supporting pharmacy operations. This is a hands-on technical role focused on system integrations, ETL processes, data architecture, SQL development, and application support.
The individual will work closely with pharmacy operations, software engineering, infrastructure, and third-party vendors to ensure reliable movement of data across pharmacy applications while maintaining compliance with HIPAA, PHI, NCPDP, and healthcare regulatory requirements.
Key Responsibilities
• Own the performance, stability, and lifecycle management of pharmacy systems and applications integrations, and supporting data platforms such as CarePoint/GuardianRx.
• Design, develop, support, and optimize ETL processes, SQL solutions, automated workflows, and system integrations supporting pharmacy operations and business processes.
• Serve as the primary escalation point and technical subject matter expert (SME) for pharmacy systems, data integrations, ETL processes, EDI connectivity, and operational technology supporting pharmacy operations and automation.
• Lead technical incident response, troubleshooting, and root cause analysis across pharmacy applications, databases, integrations, APIs, and supporting infrastructure to ensure operational continuity.
• Manage system upgrades, enhancements, releases, testing, validation, and deployment activities for pharmacy-related technologies.
• Partner with pharmacy operations, software engineering, infrastructure teams, business stakeholders, and third-party vendors to deliver scalable and compliant technology solutions.
• Identify, evaluate, implement, and optimize pharmacy technology solutions that improve operational efficiency, automation, and user experience.
• Ensure compliance with HIPAA, PHI, NCPDP and healthcare data governance requirements while maintaining data integrity and security.
• Monitor system performance, data quality, and integration health, proactively identifying opportunities for optimization and continuous improvement.
• Document system architecture, data flows, integration specifications, and support procedures to ensure operational continuity.
• Provide clear and consistent communication to leadership regarding system performance, technical risks, and strategic technology initiatives.
• Provide technical leadership in cross-functional planning, technology roadmaps, and strategic initiatives to align pharmacy systems with business objectives.
• Perform other duties as required by business needs
Skills & Qualification
• Bachelor’s degree in Computer Information Systems or a related field, or an equivalent combination of education and experience
• 5-7+ years of experience supporting enterprise applications, systems administration, application development, data integration, or healthcare technology platforms.
• Demonstrated experience owning and supporting critical business applications and technology solutions in a production environment.
• Microsoft SQL Server (MS SQL) experience, including query development, data analysis, troubleshooting, performance tuning, stored procedures, and data validation.
• Experience designing, developing, and supporting system integrations, ETL processes, APIs, and workflow automation.
• Strong technical troubleshooting and root cause analysis skills across applications, databases, integrations, and supporting technologies.
• Experience working with healthcare or pharmacy-related applications; experience with pharmacy management systems such as CarePoint, GuardianRx (GRx), or similar platforms preferred.
• Understanding of HIPAA, PHI, healthcare data governance, and regulatory compliance requirements.
• Demonstrated ability to lead technical initiatives and drive execution across cross-functional teams without direct supervisory authority.
• Experience managing application lifecycles, including upgrades, testing, release management, deployment, vendor coordination, and ongoing support.
• Ability to manage competing priorities, work independently, and perform effectively in a fast-paced environment.
• Strong analytical, documentation, and problem-solving skills.
• Excellent communication skills with the ability to effectively collaborate with technical and non-technical stakeholders.
• Experience with business intelligence and reporting tools, healthcare data exchange standards (EDI, APIs, NCPDP), ETL and integration platforms (Azure Data Factory, Azure Synapse, SSIS, or similar), and pharmacy automation, specialty pharmacy, or healthcare distribution operations
• Other duties as assigned.
Physical Demands
• The physical demands of this position are in keeping with general office functions: sitting, using a computer, keyboard, telephone, etc.
• Include travel expectation 10% and whether required or optional
Reasonable accommodation can be made to enable employee to perform the essential job duties.
Medvantx is an equal opportunity employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related conditions), sexual orientation, gender identity, gender expression, age, veteran or disability status, or other protected characteristics.
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Pharmaceutical and medicine manufacturing
51 - 200 Employees
San Diego, CA, US
2002