Business Integration Specialist
3 weeks ago
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 related processes
o Behavioral health, and A+ kids.
o Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP)
o 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.)
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Business Integration Specialist
3 weeks ago
Raleigh, United States Crescens Full timeJob Title: Business Integration Specialist Location: Raleigh NC - (Onsite) Duration: 12+ Months ***This is an Onsite position. ***Job Responsibilities: The 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...
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Business Integration Specialist
3 weeks ago
Raleigh, United States Crescens Full timeJob Title: Business Integration Specialist Location: Raleigh NC - (Onsite) Duration: 12+ Months ***This is an Onsite position. ***Job Responsibilities: The 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...
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Pharmacist Business Integration Specialist
2 months ago
Raleigh, United States Crescens Inc. Full timeJob Title: Pharmacist Business Integration Specialist Location: Raleigh, NC Duration: 12+ Months (Extendable upto 3 years) Type : Contract Job Description: The 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 implementation of the new PBM, in...
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Pharmacist Business Integration Specialist
3 weeks ago
Raleigh, United States Crescens Inc. Full timeJob Title: Pharmacist Business Integration Specialist Location: Raleigh, NC Duration: 12+ Months (Extendable upto 3 years) Type : Contract Job Description: The 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 implementation of the new PBM, in...
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MES PBM Business Integration Specialist
2 months ago
Raleigh, United States Serigor Inc. Full timeJob Title: MES PBM Business Integration Specialist (Pharmacist) (Hybrid)Location: Raleigh, NCDuration: 12+ MonthsJob Description:The PBM Business Integration Specialist will serve as a member of the client Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise and business...
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MES PBM Business Integration Specialist
3 weeks ago
Raleigh, United States Serigor Inc. Full timeJob Title: MES PBM Business Integration Specialist (Pharmacist) (Hybrid)Location: Raleigh, NCDuration: 12+ MonthsJob Description:The PBM Business Integration Specialist will serve as a member of the client Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise and business...
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EHR Integration Specialist
2 months ago
Raleigh, United States JSM Consulting Full time***The candidate will be allowed to work remotely but will be expected to work onsite once staff return to site. The candidate will need to come onsite the first day to collect equipment. ***US Citizenship is required. ***Fingerprint background check is required.The Electronic Health Record (EHR) Integration Specialist participates in all phases of...
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EHR Integration Specialist
2 months ago
Raleigh, North Carolina, United States JSM Consulting Full timeThe candidate will be allowed to work remotely but will be expected to work onsite once staff return to site. The candidate will need to come onsite the first day to collect equipment. US Citizenship is required. ***Fingerprint background check is required.The Electronic Health Record (EHR) Integration Specialist participates in all phases of connecting EHR...
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Payment Integrity Client Success Specialist
4 weeks ago
Raleigh, United States The Carolinas Center for Medical Excellence Full timePayment Integrity Client Success Specialist Remote Who We Are: Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolinas Research Triangle, we offer an array of quality...
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Payment Integrity Client Success Specialist
3 weeks ago
Raleigh, United States The Carolinas Center for Medical Excellence Full timePayment Integrity Client Success Specialist Remote Who We Are: Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolinas Research Triangle, we offer an array of quality...
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Payment Integrity Client Success Specialist
4 weeks ago
Raleigh, United States The Carolinas Center for Medical Excellence Full timeJob DescriptionJob DescriptionPayment Integrity Client Success SpecialistRemoteWho We Are:Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we...
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Payment Integrity Client Success Specialist
3 weeks ago
Raleigh, United States The Carolinas Center for Medical Excellence Full timeJob DescriptionJob DescriptionPayment Integrity Client Success SpecialistRemoteWho We Are:Constellation Quality Health, formerly CCME, is a non-profit health care quality organization and QIO-like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we...
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Business Specialist
2 months ago
Raleigh, North Carolina, United States Hitachi Careers Full timeDescription General Information:Hitachi Energy is seeking for a Business Specialist for our Raleigh, NC office. This role is responsible for activities related to the Transformers business within the North America (NAM) Region.Your responsibilities:Audit and analyze a variety of financial information used in the preparation of budgets, forecasts, business...
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Business Specialist
3 weeks ago
Raleigh, North Carolina, United States Hitachi Careers Full timeDescription General Information:Hitachi Energy is seeking for a Business Specialist for our Raleigh, NC office. This role is responsible for activities related to the Transformers business within the North America (NAM) Region.Your responsibilities:Audit and analyze a variety of financial information used in the preparation of budgets, forecasts, business...
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Integrated Marketing Specialist
4 weeks ago
Raleigh, United States RPMGlobal Full timeJob Position: Integrated Marketing Specialist Reports to: General Sales Manager FLSA: Exempt Status: Full-time OVERVIEW: The Radio One story began simply with a dream and one radio station. Forty years, 13 markets, and 70+ stations later, we are an urban media empire, spanning multiple media platforms. We are in your ears with Reach Media/Radio One, on your...
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MES Integration Specialist
2 months ago
Raleigh, United States JSM Consulting Full timeKnowledge of the Medicaid Systems and Solutions Required 7years Knowledge of the MITA Business Information and Technical architectures Required 7years Extensive familiarity with relational databases as well as other types (Graph Database NoSQL) and the relative advantages and disadvantages of each Required 7 Years Extensive familiarity with business...
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MES Integration Specialist
3 weeks ago
Raleigh, United States JSM Consulting Full timeKnowledge of the Medicaid Systems and Solutions Required 7years Knowledge of the MITA Business Information and Technical architectures Required 7years Extensive familiarity with relational databases as well as other types (Graph Database NoSQL) and the relative advantages and disadvantages of each Required 7 Years Extensive familiarity with business...
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MES Integration Specialist
2 months ago
Raleigh, North Carolina, United States JSM Consulting Full timeKnowledge of the Medicaid Systems and Solutions Required 7years Knowledge of the MITA Business Information and Technical architectures Required 7years Extensive familiarity with relational databases as well as other types (Graph Database NoSQL) and the relative advantages and disadvantages of each Required 7 Years Extensive familiarity with business...
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MES Integration Specialist
3 weeks ago
Raleigh, North Carolina, United States JSM Consulting Full timeKnowledge of the Medicaid Systems and Solutions Required 7years Knowledge of the MITA Business Information and Technical architectures Required 7years Extensive familiarity with relational databases as well as other types (Graph Database NoSQL) and the relative advantages and disadvantages of each Required 7 Years Extensive familiarity with business...
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DVRS Business Analyst Specialist
1 month ago
Raleigh, United States Cynet Systems Full timeJob Description: Specialist-level BA is needed to assist with implementing Phase 2 of a new Case Management Solution. This development effort is being performed in multiple phases. Phase 1 has been completed. This position is required to work in a rapid-paced development team environment that uses JavaScript, VBScript, Visual Basic, .NET, and SQL Server....