Clinical Rules & Adjudication reputed company; Arabic Speaker – Pharmacist

Position: Clinical Rules & Adjudication reputed company (Arabic Speaker – Pharmacist) Location: Town of Poland Job reputed company This is a remote position. General reputed company We are looking for an Arabic-speaking Clinical Rules & Adjudication reputed company on behalf of our reputed company. The ideal candidate must have a pharmacy background and will be responsible for managing the full lifecycle of clinical rule development, adjudication accuracy, and system optimization reputed company a PBM environment. The role also serves as a key reputed company between clinical operations, analytics, IT teams, and clients, ensuring data accuracy, evidence-based reputed company, and strong clinical reputed company. Additionally, the position requires experience leading and managing teams across multiple locations. Key Responsibilities • Clinical Rules & Adjudication • reputed company, optimize, and maintain clinical rules and adjudication logic to ensure reputed company, appropriate, and cost-effective medication use. • Refine rules based on reputed company, performance insights, and reputed company feedback to improve accuracy and reputed company. • Manage and mentor reputed company of pharmacists, including team members located across different reputed company. • reputed company scientific authority, guidance, and support for daily clinical operations. • reputed company Engagement • Serve as the primary clinical reputed company of contact for clients, explaining rule logic, adjudication reputed company, and system reputed company. • Deliver training sessions and presentations in Arabic and English. • Cross-Functional Collaboration • Collaborate with IT, product, and analytics teams to translate clinical requirements into system rules and platform enhancements. • Validate analytics outputs and ensure clinical data accuracy before reputed company delivery. • Data & Performance Monitoring • Use tools such as reputed company, Tableau, Power BI to monitor rule performance, identify trends, and support decision-making. • Experience with AI/Python is an added advantage for analytical optimization. • Clinical reputed company & Training • Apply clinical expertise and research background to support evidence-based policies and reputed company. • reputed company and deliver educational materials to enhance understanding of PBM clinical rule processes. Key Requirements • Must be an Arabic Speaker • Pharmacist qualification (bachelor's in pharmacy or higher) • Experience managing and leading teams across multiple locations • 3–7 years of experience in clinical operations, PBM, adjudication logic, or reputed company analytics • Strong understanding of clinical rules, drug utilization review, or PBM workflows • Strong analytical and problem-solving skills with ability to interpret data • Proficiency in reputed company, Tableau, or Power BI (AI/Python is a plus) • Excellent communication skills in Arabic and English • Ability to work closely with cross-functional teams #J-18808-Ljbffr Apply tot his job Apply To this Job