Job Title- AS400 Technical Lead with Synon and RxClaim Location- Hybrid in Richardson, TX Duration- 6 Months What are the top skills required for this role? 1. RPGLE 2. Synon 3. CLLE 4. RxClaim ...
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Job Title- AS400 Technical Lead with Synon and RxClaim Location- Hybrid in Richardson, TX Duration- 6 Months What are the top skills required for this role? 1. RPGLE 2. Synon 3. CLLE 4. RxClaim ...
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Job Title- AS400 Technical Lead with Synon and RxClaim Location- Hybrid in Richardson, TX Duration- 6 Months What are the top skills required for this role? 1. RPGLE 2. Synon 3. CLLE 4. RxClaim ...
Dulles, VA · On-site
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
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Dulles, VA · On-site
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
Dulles, VA · Remote
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
Quick apply
Dulles, VA · Remote
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
Dulles, VA · Remote
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
Quick apply
Dulles, VA · Remote
Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...
Dallas, TX · On-site
ALDON (Change Management System) RxClaim/PBM Knowledge : * Proficiency in Pharmacy Benefit Management (PBM) * Familiarity with RxClaim systems Key Qualifications: * Preferred Technical Background
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Dallas, TX · On-site
ALDON (Change Management System) RxClaim/PBM Knowledge : * Proficiency in Pharmacy Benefit Management (PBM) * Familiarity with RxClaim systems Key Qualifications: * Preferred Technical Background
Jersey City, NJ · On-site +1
If you have a background in RxCLAIM or Healthcare PBM applications and excel in troubleshooting, system maintenance, and developing innovative solutions, this position could be ideal for you. Key ...
Jersey City, NJ · On-site +1
If you have a background in RxCLAIM or Healthcare PBM applications and excel in troubleshooting, system maintenance, and developing innovative solutions, this position could be ideal for you. Key ...
Dallas, TX · Remote
Implement and maintain benefit requirements within the RxCLAIM adjudication system according to the client's intent and within required turnaround time * Utilize system tools and follow documented ...
Dallas, TX · Remote
Implement and maintain benefit requirements within the RxCLAIM adjudication system according to the client's intent and within required turnaround time * Utilize system tools and follow documented ...
Dallas, TX · On-site
The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. * Review, analyze and handle client ...
Dallas, TX · On-site
The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. * Review, analyze and handle client ...
RxClaim background
RxClaim background
Eden Prairie, MN · On-site
W2 Contract 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review ...
Eden Prairie, MN · On-site
W2 Contract 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review ...
... RxClaim Adjudication a big plus ===== Role Sr. AS400 developer Mandatory Technical / Functional SkillsAS400, Synon experience, SQL and good Analytical skills, RxClaim Knowledge Roles and ...
... RxClaim Adjudication a big plus ===== Role Sr. AS400 developer Mandatory Technical / Functional SkillsAS400, Synon experience, SQL and good Analytical skills, RxClaim Knowledge Roles and ...
Eden Prairie, MN · On-site
Eden Prairie - MN; hybrid 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug ...
Eden Prairie, MN · On-site
Eden Prairie - MN; hybrid 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug ...
Experience with RxClaim, JUDI, or Abarca preferred. * Strong experience in data mapping, system integrations, testing, and requirements management. * Agile experience preferred.
Experience with RxClaim, JUDI, or Abarca preferred. * Strong experience in data mapping, system integrations, testing, and requirements management. * Agile experience preferred.
Monroeville, PA Must Have Skills (Top 3 technical skills only) * 1. As400 2. SYNON 3. RXclaim Detailed Project requirement for AS400 technology resources with hands on experience in SYNON and ...
Monroeville, PA Must Have Skills (Top 3 technical skills only) * 1. As400 2. SYNON 3. RXclaim Detailed Project requirement for AS400 technology resources with hands on experience in SYNON and ...
Richardson, TX · On-site
... RxClaim Years of Experience: 9+ Years of Experience
Richardson, TX · On-site
... RxClaim Years of Experience: 9+ Years of Experience
Richardson, TX · On-site
... RxClaim Years of Experience: 9+ Years of Experience Regards, Venkata Surya Email: surya@rurisoft.com
Richardson, TX · On-site
... RxClaim Years of Experience: 9+ Years of Experience Regards, Venkata Surya Email: surya@rurisoft.com
Richardson, TX · On-site
$100K - $140K/yr
RxClaim PBM experience will be good to have. Roles & Responsibilities * Technically lead the team, design, code and unit test the requirements. Establish connect with customer in getting the project ...
Richardson, TX · On-site
$100K - $140K/yr
RxClaim PBM experience will be good to have. Roles & Responsibilities * Technically lead the team, design, code and unit test the requirements. Establish connect with customer in getting the project ...
Richardson, TX · On-site
$100K - $140K/yr
RxClaim PBM experience will be good to have. Roles & Responsibilities * Technically lead the team, design, code and unit test the requirements. Establish connect with customer in getting the project ...
Richardson, TX · On-site
$100K - $140K/yr
RxClaim PBM experience will be good to have. Roles & Responsibilities * Technically lead the team, design, code and unit test the requirements. Establish connect with customer in getting the project ...
Eden Prairie, MN · Remote
Lead the alignment of client implementation processes with RxClaim intake, demand management, and prioritization frameworks * Establish and maintain governance processes that ensure consistent ...
Eden Prairie, MN · Remote
Lead the alignment of client implementation processes with RxClaim intake, demand management, and prioritization frameworks * Establish and maintain governance processes that ensure consistent ...
... RxClaim? Does the candidate have 10+ years of hands-on coding experience in COBOL AS400 and/or Cobol ILE Does the candidate strong experience in DB2400 Essential Skills: iSeries| COBOL| AS400 (Mid ...
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... RxClaim? Does the candidate have 10+ years of hands-on coding experience in COBOL AS400 and/or Cobol ILE Does the candidate strong experience in DB2400 Essential Skills: iSeries| COBOL| AS400 (Mid ...
$15K - $48.8K
2% of jobs
$48.8K - $82.6K
2% of jobs
$82.6K - $116.5K
6% of jobs
$116.5K - $150.3K
5% of jobs
$150.3K - $184.1K
2% of jobs
$201K is the 25th percentile. Wages below this are outliers.
$184.1K - $217.9K
14% of jobs
The median wage is $245.3K / yr.
$217.9K - $251.7K
22% of jobs
$251.7K - $285.5K
13% of jobs
$297.6K is the 75th percentile. Wages above this are outliers.
$285.5K - $319.4K
22% of jobs
$319.4K - $353.2K
7% of jobs
$353.2K - $387K
3% of jobs
$15K
$241.3K
$387K
RxClaim Analysts or Specialists often encounter challenges related to staying current with continually evolving healthcare regulations, benefits plan updates, and complex claims data. Troubleshooting claim adjudication issues—such as rejected or incorrectly processed claims—requires analytical skills and attention to detail. Additionally, working closely with IT teams, pharmacists, and insurance representatives to implement system changes or resolve urgent problems can be fast-paced and requires strong collaboration. Overcoming these challenges provides valuable experience and contributes to professional development in the healthcare technology sector.
An RxClaim job typically involves working with the RxClaim system, which is a pharmacy claims processing platform used by pharmacy benefit managers (PBMs) and healthcare organizations. Responsibilities may include managing prescription claims, analyzing data, troubleshooting system issues, and ensuring compliance with healthcare regulations. Professionals in these roles often work in IT, customer support, or pharmacy operations to help maintain accurate and efficient prescription processing.
To thrive as an RxClaim Analyst or Specialist, candidates typically need strong experience in pharmacy benefits management, claims processing, and healthcare data analysis, often supported by a background in healthcare administration or an IT-related field. Proficiency with PBM platforms such as RxClaim software (from Change Healthcare), SQL, and other claims adjudication systems is highly valued, along with certifications in pharmacy technology or healthcare information systems. Attention to detail, problem-solving abilities, effective communication, and the ability to work collaboratively within cross-functional teams are key soft skills. These competencies ensure accurate claims processing, smooth system integration, and positive outcomes for both patients and healthcare providers.
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Posted 9 days ago