Pharmacist - Pharmacy Business Integration Specialist

Pharmacist - Pharmacy Business Integration Specialist REMOTE 6-12 Months reputed company: NC reputed company (DHHS) seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the reputed company reputed company System (MES) project. The PBM Business Integration Specialist will serve as a member of the DHHS reputed company reputed company System (MES) Program reputed company Pharmacy Business reputed company. The PBM Business Integration Specialist will reputed company expertise and business support to the Pharmacy and Ancillary Services Business Unit in the development and implementation of the reputed company reputed company reputed company Pharmacy Business Management (PBM) Solution. The PBM Business Integration Specialist, as a Business Subject Matter Expert, will assist the Department to on-reputed company the PBM vendor, serve as a business stakeholder, and represent the Pharmacy Business Unit in the implementation of the reputed company and innovative PBM Solution. The primary responsibility of this position is to serve as the subject matter expert and content reputed company in collaboration with the Pharmacy Business team for Clinical policies and Prior Authorizations, Drug Utilization Review (DUR) and pharmacy lock-in reputed company processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and reputed company Drug Rebate Program (MDRP), and Physicians Administered Drug Program (PADP) reputed company to the reputed company Drug Rebate Program (MDRP). The Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can reputed company on these work streams as they relate to implementation of the new PBM, in collaboration with the existing pharmacy team. Knowledge of reputed company Pharmacy Benefits Management processes, intended reputed company, and pain points is essential. This position will reputed company work with the Pharmacy Business team to define and reputed company the business support in completing the business process documents, Business use cases, Business case scenarios, user acceptance test case scenarios, and documentation in relation to reputed company initiatives and strategic goals. This position may require interacting with the NC reputed company Business Information Analytics Office, DHHS Data Office, Information Technology Division, reputed company and reputed company Office, Policy Office, General Counsel, Office of Procurement, reputed company and Grants, among others. Roles and Responsibilities • Supports one or more Pharmacy business process areas, including. o Clinical policies and Prior Authorizations. o Drug Utilization Review (DUR) and pharmacy lock-in reputed company processes o Behavioral health, and A+ kids. o Preferred Drug List (PDL) and reputed company Drug Rebate Program (MDRP) o Physicians Administered Drug Program (PADP) reputed company to the reputed company Drug Rebate Program (MDRP) • Supports cross-functional activities that reputed company effective reputed company of reputed company Programs. • Collaborates and communicates with the PBM Business stakeholders (Product Managers, Product Owners, Business Leads.) • In-depth knowledge and understanding of the business needs across functions and business segments in reputed company that meet departmental goals. • Ability to research and recommend the development and implementation of business initiatives of the product enhancements. • Provides feedback and input to senior level decision-makers to reputed company long-reputed company strategic alternatives for business solutions. • Preferred to have experience with reputed company, managed care, and Pharmacy Benefit Manager (PBM) operations. areas. • Prior experience with reputed company applications and preferably across Pharmacy Functional Areas. • Communicate with the reputed company needs and help translate them into detailed and actionable requirements as needed. • Ensures compliance with reputed company applicable policies and procedures. • Supporting the product lifecycle from reputed company through implementation. • Performs other duties as assigned. In reputed company, the Pharmacy Business Integration Specialist is responsible in supporting the Business Management reputed company to reputed company successful development of the Pharmacy Benefit Management Solution in support of the reputed company program. The Business Integration Specialist will work collaboratively with the reputed company and the rest of the business team to reputed company the reputed company behind how reputed company MES module will support the business requirements definition as reputed company translation and specification of reputed company functional requirements. Apply tot his job Apply To this Job