Pharmaceutical Claims Adjudication Systems Jobs

This on-site Project Manager role within JLL's Life Sciences division supports the planning and execution of construction and renovation projects for pharmaceutical and laboratory facilities. The position involves developing project scopes and schedules, managing vendor RFPs, and negotiating with contractors to ensure timely delivery. Key responsibilities include tracking project performance against critical paths, preparing financial reports, and assisting the team in meeting margin targets. The role appeals to candidates seeking to shape the future of real estate within a supportive culture that prioritizes employee well-being and offers comprehensive benefits. Located in Reno, Nevada, the position requires strong interpersonal skills and experience in managing complex technical projects in a fast-paced environment.

This Finance Assistant Manager or Manager role supports the Finance Director in overseeing daily accounting operations within a pharmaceutical-focused team. Key responsibilities include managing general accounting, P&L, and balance sheet activities, calculating Gross-to-Net deductions, and preparing financial statements compliant with US GAAP and IFRS. The position also involves leading process improvement initiatives, supporting internal controls and audits, and collaborating with sales partners. The role is appealing for professionals seeking to leverage bilingual Korean and English skills in a dynamic environment with opportunities for system implementation and career growth. Candidates with experience in SAP and SOX compliance will find the position particularly engaging.

This full-time LPN role at BioLife Plasma Services supports plasma center operations in Warren, Michigan, under the guidance of the Center Manager and Center Physician. The position involves determining donor eligibility through medical history reviews and physical examinations, managing donor adverse events and medical emergencies, and reviewing laboratory test results to ensure donor safety. The role also includes supporting employee vaccination programs and coordinating pandemic response efforts. The position offers a purpose-driven environment where daily work directly contributes to life-changing medicines, featuring opportunities for career growth within a collaborative, inclusive culture and a comprehensive benefits package.

The Certified Medication Assistant role at Good Samaritan Health Center supports the healthcare team in delivering pharmaceutical care to patients within a long-term care facility. Key responsibilities include accurately administering and documenting medications as prescribed, observing patient responses to report adverse reactions, and maintaining strict compliance with facility policies and health regulations. The position also involves updating patient records and collaborating with other professionals to ensure comprehensive care. This opportunity is appealing due to the organization's compassionate environment focused on underserved communities, offering a supportive culture that values ongoing education and professional growth. The role requires a Certified Medication Assistant credential and provides a comprehensive benefits package including medical, dental, vision, and life insurance.

This Scientist role within Thermo Fisher Scientific's Analytical Services team supports bioprocess development through analytical testing at pharmaceutical client sites. The position involves preparing samples, performing enzyme-linked immunosorbent assays to monitor impurities and antigen binding, and conducting data acquisition with statistical analysis documented in electronic lab notebooks. Key responsibilities include reporting experimental results clearly to stakeholders and troubleshooting ELISA technology. The role offers a unique functional service provider model that allows employees to gain direct onsite experience while maintaining full-time benefits. It appeals to candidates seeking meaningful work that impacts global health outcomes within a collaborative culture that values integrity, innovation, and diverse perspectives.

This full-time Key Account Manager role at Nestlé Health Science focuses on driving sales and protocol development within hospital and pharmaceutical accounts across the Washington, D.C. territory. The position involves building strategic relationships with key decision-makers, educating healthcare providers on novel GI therapies, and managing complex account plans to support patient transition of care. The role appeals to professionals seeking to merge nutrition and science to improve patient outcomes within a collaborative, entrepreneurial culture that values professional growth and global learning. The position requires significant travel and offers the opportunity to work with a diverse portfolio of renowned health brands in a mission-driven environment.

The Principal Clinical Data Manager role at Everest Clinical Research leads data management activities for global clinical trials within a full-service CRO. The position involves overseeing database design, validating electronic data, resolving complex queries, and managing team resources to ensure high-quality deliverables. Key responsibilities include developing data management plans, leading user acceptance testing, and mentoring staff on data flow and quality control processes. This opportunity appeals to experienced professionals seeking a dynamic environment with a strong focus on quality and customer service. The role offers flexibility through remote work options across the USA or an on-site position in Bridgewater, New Jersey, supporting career growth within a rapidly expanding organization.

The Cell Bank Technician role supports Avantor's Advanced Laboratory Services team by managing critical cell line operations for biopharma and scientific clients. Based in Waltham, MA with a planned relocation to Cambridge in 2026, the position involves creating daily pick lists, retrieving and shipping cell lines, and maintaining cryobank equipment including liquid nitrogen dewars. Key responsibilities include utilizing Laboratory Information Management Systems for tracking, ensuring inventory of consumables, and adhering to strict safety and quality protocols. The role appeals to candidates seeking to contribute to life-changing medical research within a global organization that values career growth, diverse perspectives, and a collaborative culture. The schedule is Monday through Friday with full benefits including health coverage and retirement plans.

The cGMP Sanitation Specialist role on the second shift focuses on maintaining hygiene and safety within a manufacturing facility, likely in the food, pharmaceutical, or biotech sector. Key responsibilities include performing routine and deep cleaning of production equipment and facilities, disassembling machinery for thorough sanitation, and accurately documenting all activities to ensure compliance with current Good Manufacturing Practices. The position requires adherence to strict safety protocols, proper handling of cleaning agents, and participation in regulatory audits. This opportunity appeals to detail-oriented individuals seeking a stable position in a regulated environment where maintaining product integrity is critical. The role involves working in controlled environments and may require physical effort, offering a chance to contribute to essential quality assurance processes.

The Pharmacist in Charge role oversees pharmacy operations within a California facility, focusing on dispensing accuracy, patient consultation, and regulatory compliance. Key responsibilities include supervising pharmacy staff, managing training programs, ensuring adherence to state and federal laws, and supporting business growth initiatives. The position requires maintaining inventory security, handling controlled substances, and serving as the primary point of contact for internal and external inquiries. This opportunity appeals to experienced leaders seeking to drive quality patient care in a collaborative environment. The role involves a mix of on-site duties with an on-call rotation schedule, offering a chance to shape operational standards and mentor a dedicated team.

The Certified Medication Assistant role at Good Samaritan Health Center supports the healthcare team in a long-term care facility serving underserved communities. Key responsibilities include accurately administering and documenting medications, observing patient responses to report adverse reactions, and maintaining strict compliance with health regulations. The position offers a compassionate work environment with opportunities for ongoing professional education and collaboration with diverse healthcare professionals. Benefits include comprehensive medical, dental, vision, and life insurance, along with a 401k plan. The role requires mandatory CMA certification and a strong commitment to patient safety and confidentiality.

The Certified Medication Assistant role at Good Samaritan Health Center supports the healthcare team in a long-term care facility serving underserved communities. Key responsibilities include accurately administering and documenting medications, observing patient responses to report adverse reactions, and maintaining strict compliance with health regulations. The position also involves updating patient records and collaborating with medical professionals to optimize wellness outcomes. This opportunity appeals to those seeking a compassionate work environment with a focus on community care. The role offers a comprehensive benefits package including medical, dental, vision, and life insurance, along with a 401k plan. A Certified Medication Assistant credential is required, and the position is based on-site within the facility.

This Lead Clinical Research Coordinator role at ProPharma involves managing and coordinating daily activities for Phase II-III industry-sponsored clinical trials from initiation to close-out. The position requires ensuring protocol compliance, data integrity, and participant safety while handling vendor management, subject recruitment, adverse event reporting, and regulatory documentation. Key responsibilities include performing clinical procedures like phlebotomy, leading monitoring visits, and collaborating with investigators and sponsors to optimize study operations. The role is appealing for its opportunity to work with a diverse team in a culture that values innovation, diversity, and authentic collaboration. While the position requires residency in New York City, it offers a hybrid work arrangement that balances remote flexibility with in-person office collaboration.

The Associate Director, Data Engineering role within Omnicom Health Group's Digital & Analytics team focuses on developing analytics products and supporting market access strategies for pharmaceutical clients. Key responsibilities include writing code in R or Python, managing SQL databases, building data pipelines on cloud platforms like AWS or Azure, and creating interactive dashboards using tools such as Tableau or Power BI. This position appeals to candidates seeking to deepen their expertise in the pharmaceutical industry while working in a consultative capacity. The role offers significant career growth potential through the company's extensive network, allowing professionals to pivot across different organizations and build diverse skills. The environment emphasizes inclusive team development and the opportunity to work with emerging technologies like AI and LLM models.

This field-based Sr. Manager role within Eisai's Patient Services team supports the Neurology business unit by ensuring patient access to innovative medicines in neurology and oncology. The position involves serving as the primary point of contact for healthcare professionals regarding insurance coverage, reimbursement policies, and patient support programs. Key responsibilities include triaging access issues, developing regional strategies to maintain treatment availability, and delivering training to sales teams on payer trends and billing procedures. The role appeals to candidates seeking to make a direct impact on patient care within a mission-driven pharmaceutical company. It offers the opportunity to work in a fast-paced environment with significant autonomy, requiring regular in-person engagement with healthcare providers across the Milwaukee region.

This full-time Pharmacist role is based in West Cincinnati within the pharmacy department of a major national grocery chain. The position focuses on fulfilling prescription needs with high accuracy, administering vaccines, and providing patient counseling to ensure quality pharmaceutical care. Key responsibilities include maintaining strict compliance with federal and state regulations, managing inventory and controlled substances, and leading a team of technicians to achieve departmental sales and safety goals. The role appeals to candidates seeking a purpose-driven environment where people matter, offering opportunities for professional growth through extensive training and tuition reimbursement. The position supports flexible scheduling options and fosters a culture of diversity, inclusion, and continuous learning.

The Lexington Area Floater Pharmacist role involves providing flexible pharmacy services across multiple locations within the Kroger family of companies. Key responsibilities include fulfilling prescription orders with a focus on accuracy, offering patient counseling and pharmaceutical care, and ensuring strict compliance with all local, state, and federal regulations. The position also requires managing inventory, maintaining a safe and clean work environment, and leading associates to deliver exceptional customer service. This opportunity is appealing for its commitment to employee well-being, offering comprehensive benefits, extensive tuition reimbursement, and significant career growth potential within a diverse and purpose-driven organization that prioritizes feeding the human spirit.

The Strategic Alliance Manager role at Roche Custom Biotech focuses on building and optimizing partnerships within the Los Angeles and San Diego regions to advance biopharmaceutical and diagnostic solutions. Key responsibilities include identifying and establishing alliances with pharmaceutical and biotechnology firms, collaborating with cross-functional internal teams to execute joint initiatives, and managing complex partnership agreements to drive strategic growth. The position offers the appeal of working within a culture that values personal expression and genuine connections while contributing to a global mission of preventing and curing diseases. This field-based role requires approximately 25% national travel and provides opportunities to leverage extensive industry experience in a dynamic, science-driven environment.

The Associate Director of Treasury role at BridgeBio leads global treasury operations for a biopharmaceutical company focused on developing life-changing medicines for rare diseases. Reporting to the Chief Accounting Officer, the position provides strategic oversight of cash liquidity, financial risk management, and banking relationships across commercial, R&D, and manufacturing functions. Key responsibilities include managing rolling cash flow forecasts for clinical trials and milestone payments, executing hedging strategies for foreign exchange and interest rate exposure, and optimizing the global bank account structure. The role appeals to candidates who value a mission-driven culture that encourages experimentation and the ethical use of AI to drive efficiency. It offers a hybrid work arrangement, opportunities to mentor a high-performing team, and a collaborative environment where professionals can influence executive strategy while supporting the rapid advancement of the pharmaceutical pipeline.

The Principal, Digital Product Management role leads strategy and execution for MedImpact's digital products and services within the healthcare technology sector. Key responsibilities include driving the full product lifecycle from discovery to delivery, defining roadmaps to enhance user experience and affordability, and managing cross-functional teams to launch innovative solutions. This position offers the opportunity to shape the future of pharmacy benefits management while fostering a high-performance culture focused on improving healthcare outcomes. The role requires on-site presence at the San Diego headquarters to facilitate close collaboration with internal stakeholders and clients.

The Scientist role supports MIMETAS's US bioproduction site in Gaithersburg, Maryland, advancing the OrganoReady organ-on-a-chip product line. Key responsibilities include performing just-in-time cell culture production, managing laboratory supply chains, and conducting technical experiments with a focus on troubleshooting and data analysis. This position appeals to candidates seeking a challenging role within an international, fast-growing high-tech environment that values creativity and independence. The team fosters a collaborative culture where colleagues from diverse backgrounds work together on cutting-edge drug discovery technology. The position is based on-site in Maryland with opportunities for professional growth in a dynamic scientific setting.

This full-time Pharmacist role supports the specialized Long-Term Acute Care Hospital and Acute Rehabilitation Unit at Kindred Hospital Houston Northwest. The position involves collaborating with physicians and the Director of Pharmacy to compound, dispense, and verify medications for adult and geriatric patients while supervising technical support staff. Key responsibilities include managing IV preparation, conducting pharmacokinetic dosing services, ensuring regulatory compliance, and providing clinical education to hospital personnel. The role appeals to professionals seeking to deliver personalized care in a 24/7 clinical environment with opportunities to lead quality improvement initiatives and mentor pharmacy teams.

The Senior Data Integrity Specialist role serves as a subject matter expert within the Quality Assurance department, focusing on GxP compliance for drug and device products. Key responsibilities include managing the Data Integrity Governance program, developing and approving policies in collaboration with IT and manufacturing teams, and leading risk-based remediation efforts. The position also involves supporting regulatory inspections and delivering training to staff across the organization. This opportunity appeals to professionals seeking to drive continuous improvement and influence cross-functional initiatives within a multicultural pharmaceutical environment. The role requires strong project management skills and offers a chance to shape compliance strategies while working in a clean, professional setting.

The Specialty Pharmacy Supervisor role is a full-time clinical pharmacist position within the Case Management department at Sentara Norfolk General Hospital. The individual provides formal leadership to pharmacy team members, overseeing daily operations, workflow coordination, and quality assurance while ensuring safe and compliant medication services. Key responsibilities include developing clinical protocols and policies, implementing system-wide initiatives, and mentoring staff through training and professional development. The position offers a day shift schedule without weekends or holidays, providing a stable work-life balance. The role is appealing due to the organization's commitment to career advancement, comprehensive benefits including tuition assistance and student debt support, and the opportunity to lead within a Magnet-recognized hospital dedicated to improving community health.

This senior leadership role within the Insights and Analytics team at Legend Biotech focuses on shaping enterprise Sales Force Effectiveness strategy through advanced analytics and decision science. The position involves designing territory alignment models, optimizing customer targeting segmentation, and developing incentive compensation structures to drive commercial performance. Key responsibilities include leading predictive modeling initiatives, translating complex data into actionable field strategies, and serving as a primary advisor to senior stakeholders across Sales Operations, HR, and Finance. The role offers the opportunity to work at the intersection of data science and commercial strategy within a global biotechnology company dedicated to curing life-threatening diseases. The position is based in Bridgewater, NJ, with a hybrid work arrangement, and provides a collaborative environment focused on high-impact decision-making and professional growth.