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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Pharmacist Business Integration Specialist
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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
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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
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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
1 month 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
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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
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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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Developer Relations Specialist
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MES Integration Specialist
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MES Integration Specialist
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Business Support Specialist IV
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HR Specialist Sr
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Raleigh, United States LanceSoft Full timeThe Client requires the services of a senior business and technical specialist to support business case analysis, process reengineering, requirement gathering activities and assist with Tier-3 support for the COVID vaccine project(CVMS). The CVMS solution is developed based on Salesforce platform and using agile methodology. Responsibilities include: Build...
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SBA Business Support Specialist II
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Raleigh, United States First Citizens Full time**SBA Business Support Specialist II** CAROUSEL_PARAGRAPH * 10951 * 100 East Tryon Road * Raleigh, North Carolina * CREDIT ADMINISTRATION * Monday - Friday * Ashley Griffeth * S4 * Internal/External * $400.00 ** Share Job** mail_outlineGet future jobs matching this search or ** Job Description** **Overview** This position supports Bank products or...
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InputAccel Capture Specialist
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