Business Integration Specialist

3 weeks ago


Raleigh, United States Omega Solutions Inc Full time

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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