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Business Systems Analyst
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Full-time
- This position will be responsible for managing the relationship between the Division's pharmacy program and the system functionality that enforces the business rules and requirements specific to pharmacy operations within the Medicaid program.
- Seeking a Business Systems Analyst.
- Experience with Pharmacy claim adjudication
- Working knowledge of Financial Bank (FDB) drug classifications such as therapeutic drug classes, NDCs, GSNs, GCNs, etc.)
- Understanding of Medicaid PDL (for generic and brand drugs), preferred/non-preferred drug, prior authorization criteria/rules, lock-in program requirements and drug utilization review (both ProDUR and RetroDUR).
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