| Urgent need Business Integration Specialist with Pharmacy at Raleigh, NC at Raleigh, North Carolina, USA |
| Email: [email protected] |
| Hi Hope you are doing great! We have a contract position open for a Business Integration Specialist with Pharmacy that needs to be filled in immediately. Our Fortune 500 client is looking for a Business Integration Specialist with Pharmacy to work on their project based out of Raleigh, NC / Hybrid. Job Title: Business Integration Specialist with Pharmacy Location: Raleigh, NC / Hybrid Duration: 6+ Months Job Description: This position will actively work with the Pharmacy Business team to define and provide 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 Medicaid initiatives and strategic goals. This position may require interacting with the NC Medicaid Business Information Analytics Office, DHHS Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others. Roles and Responsibilities: Supports one or more Pharmacy business process areas, including. Clinical policies and Prior Authorizations. Drug Utilization Review (DUR) and pharmacy lock-in related processes Behavioral health, and A+ kids. Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP) Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP) Supports cross-functional activities that provide effective oversight of Medicaid 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 healthcare 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 develop long-range strategic alternatives for business solutions. Preferred to have experience with Medicaid, managed care, and Pharmacy Benefit Manager (PBM) operations. areas. Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas. Communicate with the business owner needs and help translate them into detailed and actionable requirements as needed. Ensures compliance with all applicable policies and procedures. Supporting the product lifecycle from conception through implementation. Performs other duties as assigned. In addition, the Pharmacy Business Integration Specialist is responsible in supporting the Business Management space to achieve successful development of the Pharmacy Benefit Management Solution in support of the Medicaid program. The Business Integration Specialist will work collaboratively with the Business owner and the rest of the business team to develop the strategy behind how each MES module will support the business requirements definition as well translation and specification of all functional requirements. Required Experience: Graduation from an accredited School of Pharmacy, B.S. or Doctor of Pharmacy degree Required Registered Pharmacist with a valid (active) and unrestricted Pharmacist license Required 3 Years Licensed to practice pharmacy in the State of North Carolina or the ability to receive the North Carolina license to practice Pharmacy within 90 days Required Understanding of pharmacy lines of business: retail, long term care, home infusion, mail order, specialty, institutional Required 3 Years Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management Required 3 Years Knowledge of the Medicaid Pharmacy (PBM) processes, roles, and intended outcomes Required 3 Years Drug information skills Required 3 Years Experience in ensuring with all applicable policies and procedures. Required 3 Years Knowledge of the Enterprise IT Systems integration principle and associated change management best practices Desired 1 Years Demonstrate ability to manage multiple priorities and projects, and function in a fast passed moving constantly changing, deadline-driven environment Required 3 Years Proficient in Microsoft Word, Excel, PowerPoint, Access, and Adobe software Required 3 Years Experience in reviewing and providing feedback and input to senior level decision-makers to develop long-range strategic alternatives for business sol Required 3 Years Experience working in a combination of business analysis. Product management, project management, and or software application development Required 3 Years Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in Required 3 Years Proven experience and working knowledge of the agile development methodologies, environment and tools Highly desired 2 Years Experience handling HIPPA and PII data Required 3 Years Managed care knowledge or experience Required 3 Years Medicaid program knowledge or related Healthcare Information experience Required 3 Years Please send your updated word format resume along with your best contact details. Looking forward to hearing from you. -------------------- Thanks & Regards, Evan -- Keywords: information technology North Carolina Urgent need Business Integration Specialist with Pharmacy at Raleigh, NC [email protected] |
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| Mon Nov 11 22:05:00 UTC 2024 |