Job Title: PBM Business Integration Specialist
Job Id: 24-04987
Location: Raleigh, NC (Hybrid)
Duration: 01 Months On Contract
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.
PBM Business Integration Specialist (Pharmacist) • Raleigh, North Carolina, United States
Doctor of Medicine | Dermatology.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with Weatherby Healthcare to find a qualified Dermatology MD in Butner, North Carolina, 275... Show more
Business Analyst/PM - Clinical Data Morrisville, NC 27560 - Onsite Role - Prefer local candidates Salary Market (DOE) FTE role We are looking for a seasoned Business Analyst with experience in requ... Show more
Retail Merchandiser – Multi-Store Resets.Retail Reset & Specialists to support a large-scale retail transformation program.This project involves the merchandising reset of new product department la... Show more
Become a part of our caring community.As a therapist at CenterWell Home Health, reporting to the Home Health Branch Administration, you'll play a vital role in helping patients regain strength, mob... Show more
Join a team that's been providing compassionate, patient-centered care to rural North Carolina communities for 50 years.At CommWell Health, you won't just care for patients, you'll empower families... Show more
FP&A Business Partner PSS (Hub & Copay).This is a high-visibility FP&A leadership role supporting Valeris' largest and most complex business unit (Patient Support Services Hub & Copay).You will s... Show more
Fuel is one of the most vital components of the Army National Guard.It’s what keeps Soldiers pushing onward, and as a Petroleum Supply Specialist, you’ll make sure they’ll never run out.In this pos... Show more
Information Technology Professional (IT/CTN/IS).Information Systems Technicians, Cryptologic Technician Networks, and Intelligence Specialists keep the Fleet connected, informed, and secure by oper... Show more
Job Description & Requirements.StartDate: ASAP Pay Rate: $350000.A health system in a beautiful community near Raleigh, North Carolina is seeking a psychiatrist to help expand a newer service line ... Show more
We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more
This role will be based out of our various retail locations throughout North Carolina along with one day per week.Responsible for ensuring the proper compounding, dispensation, review, and verifica... Show more
Benson Health | Benson, NC | Full-Time | Flexible (Possible 4-day work week)**.Benson, NC and surrounding areas.Our mission is to improve the health and well-being of our community through accessib... Show more
Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI labs and enterprises use micro1 to train models and build reliable AI agents th... Show more
PBM Business Integration Specialist (Pharmacist)Location :Raleigh, NC (Remote / Hybrid) Duration :9 monthsJoin our team as a Pharmacy Benefits Management (PBM) Business Integration Specialist on th... Show more
Are you ready to join and grow with the largest private psych practice in the southeastern U.We're experiencing rapid growth across the state and we have multiple openings for outpatient Psychiatri... Show more
US Citizens & Permanent Residents ONLY.Job Location: Cary, NC or Carrollton, TX (Onsite, NO REMOTE).The Business Analyst II is a critical partner to the Product Owner/Product Manager and Scrum Team... Show more
IT Senior Pharmacy BA/h2pDuration: 12+ Months/ppLocation: Raleigh, NC (Hybrid)/ph3Description:/h3pThe client is seeking a senior Business Analyst with Technical expertise to assist with implementin... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
