PBM Business Integration Specialist
3 weeks ago
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.
- 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.
-
PBM Business Integration Specialist
3 weeks ago
raleigh, United States DataStaff, Inc. Full timeDataStaff, Inc is in need of a PBM Business Integration Specialist (Pharmacist) for a long-term contract opportunity with one of our direct clients located in Raleigh, NC.*This position is hybridThe Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to...
-
PBM Business Integration Specialist
3 weeks ago
raleigh, United States DataStaff, Inc. Full timeDataStaff, Inc is in need of a PBM Business Integration Specialist (Pharmacist) for a long-term contract opportunity with one of our direct clients located in Raleigh, NC.*This position is hybridThe Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to...
-
PBM Business Integration Specialist
3 weeks ago
Raleigh, United States DataStaff, Inc. Full timeDataStaff, Inc is in need of a PBM Business Integration Specialist (Pharmacist) for a long-term contract opportunity with one of our direct clients located in Raleigh, NC.*This position is hybridThe Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to...
-
Pharmaceutical Business Integration Specialist
3 weeks ago
Raleigh, North Carolina, United States Omega Solutions Inc Full timeKey Responsibilities:The Pharmacy Business Integration Specialist will provide business support to the Pharmacy and Ancillary Services Business Unit in the development and implementation of the Medicaid Enterprise Modular Pharmacy Business Management (PBM) Solution.This role will serve as a subject matter expert and content lead in collaboration with the...
-
IT Senior Pharmacy Business Analyst Specialist
4 weeks ago
Raleigh, North Carolina, United States Scout Exchange Full timeJob Title: IT Senior Pharmacy Business Analyst SpecialistJob Summary:Scout Exchange is seeking a highly skilled IT Senior Pharmacy Business Analyst Specialist to lead business and technical analysis related to the implementation of the Pharmacy Benefits Management (PBM) module. The ideal candidate will have extensive experience in PBM business and system...
-
Pharmacist
4 months ago
Raleigh, United States raag solutions Full timeThe PBM Business Integration Specialist will provide expertise and business support to the Pharmacy and Ancillary Services Business Unit in the development and implementation of the Medicaid Enterprise Modular Pharmacy Business Management (PBM) Solution. The PBM Business Integration Specialist, as a Business Subject Matter Expert, will assist the Department...
-
Data Integration Specialist
4 weeks ago
Raleigh, North Carolina, United States Eaton Corporation, plc Full timeData Integration SpecialistEaton Corporation, plc is seeking a skilled Data Integration Specialist to design and implement data integration processes using Low Code ETL tools such as Power BI dataflows, Alteryx, and Azure Data Factory.Key Responsibilities:Design and implement data integration processes using Low Code ETL tools.Create and maintain data models...
-
Avaya Certified Integration Specialist
2 months ago
Raleigh, United States TEKsystems Full timeJob DescriptionJob DescriptionSupport Team looking for 10-14x people: FULLY REMOTE; Has to have Avaya Experience to be Considered.Avaya Implementation Professional Specialist (AIPS) – Basic-to-intermediary level of technical proficiency necessary to install and implement Avaya products.orAvaya Certified Implementation Specialist (ACIS) –...
-
Administrative Specialist
2 weeks ago
Raleigh, United States City of Raleigh North Carolina Full timeThis position is being re-advertised. Candidates who have previously submitted an application and were referred to the hiring manager are still being considered and do not need to reapply. The City of Raleigh is seeking a qualified Administrative Spe Administrative Specialist, Business, Administrative, Technical Support, Specialist, Records
-
BSA - MuleSoft Integration
4 weeks ago
Raleigh, United States Experis Full timeOur financial services client is seeking a Business System Analyst to join their growing team. As a BSA, you will support a MuleSoft Integration by soliciting, documenting, and refining business requirements to solve business problems and identify improvement opportunities. Job Title: BSA - MuleSoft Integration Location: Raleigh, NC preferred (open to NC,...
-
Software Integration Manager
4 weeks ago
Raleigh, North Carolina, United States COASTAL FEDERAL C.U. Full timeJob Title: Software Integration ManagerCoastal Federal Credit Union is seeking a highly skilled Software Integration Manager to lead our platform engineering team in designing, developing, and maintaining reliable and robust systems integrations for a platform of connected solutions.Key Responsibilities:Lead and mentor a team of integrations architects and...
-
Senior Business Continuity Specialist
2 weeks ago
Raleigh, United States FUJIFILM Diosynth Biotechnologies Full timeFollow Your Genki to North America's largest, state-of-the-art Life Science Manufacturing Facility & CDMOThe work we do at FDB has never been more important—and we are looking for talented candidates to join us. We are growing our locations, our capabilities, and our teams, and looking for passionate, mission-driven people like you who want to make a real...
-
Senior Business Continuity Specialist
2 weeks ago
raleigh, United States FUJIFILM Diosynth Biotechnologies Full timeFollow Your Genki to North America's largest, state-of-the-art Life Science Manufacturing Facility & CDMOThe work we do at FDB has never been more important—and we are looking for talented candidates to join us. We are growing our locations, our capabilities, and our teams, and looking for passionate, mission-driven people like you who want to make a real...
-
Senior Business Continuity Specialist
1 week ago
raleigh, United States FUJIFILM Diosynth Biotechnologies Full timeFollow Your Genki to North America's largest, state-of-the-art Life Science Manufacturing Facility & CDMOThe work we do at FDB has never been more important—and we are looking for talented candidates to join us. We are growing our locations, our capabilities, and our teams, and looking for passionate, mission-driven people like you who want to make a real...
-
Advanced Practice Provider
4 weeks ago
Raleigh, North Carolina, United States Advaita Health Ventures, LLC Full timeJob DescriptionAbout Us: Advaita Health Ventures, LLC is an integrated care practice that provides psychiatric care, medication management, preventative primary care within scope of practice, and therapy for individuals dealing with substance use/addiction and mental health disorders including bipolar disorder, anxiety, depression, trauma/PTSD, and ADHD. We...
-
Furniture Delivery Specialist
3 weeks ago
Raleigh, North Carolina, United States Cort Business Services Full timeJob SummaryCORT, a leading provider of transition services, is seeking a skilled Furniture Delivery Specialist to join our Operations team. As a key member of our team, you will be responsible for delivering and installing furniture to customers' homes and offices, ensuring a positive customer experience.Key ResponsibilitiesDrive a 26-foot box truck with a...
-
Business Operations Specialist
4 weeks ago
Raleigh, North Carolina, United States Serigor Inc. Full timeJob SummaryWe are seeking a highly skilled Business Operations Specialist to join our team at Serigor Inc. This role will be responsible for coordinating business operational activities with respect to inventory management, continuous process improvement, and coordinating training and education in the operations with the Genetec software and all system...
-
Oracle Integration Cloud OIC Architect
2 weeks ago
Raleigh, United States Magicforce Full timeThe role requires handson experience in setting up and configuring Oracle Integration Cloud (OIC) environments. The ideal candidate should have expertise in integrating Oracle and nonOracle applications as well as connecting onpremises and cloudbased applications seamlessly. This position calls for a strong understanding of integration best practices to...
-
Raleigh, North Carolina, United States First Citizens Bank Full time**Internship Overview**First Citizens Bank offers a dynamic internship program that provides development opportunities and hands-on work experience. Our interns will apply classroom knowledge in a corporate environment while making a positive impact across the organization and the communities we serve.**Responsibilities**In this role, you will:Be part of a...
-
Business Development Specialist
6 days ago
Raleigh, North Carolina, United States F.N.B. Corporation Full timeJob SummaryWe are seeking a highly skilled Business Development Specialist to join our team at F.N.B. Corporation.About the RoleThis exciting opportunity involves communicating with customers to understand their current situation, researching products to match their needs, processing paperwork, and ensuring existing customer information is up-to-date.The...