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Job 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 collaboration with the existing pharmacy team.
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Experience in Healthcare analytics (preferably PBM Analytics), Clinical Outcomes, Real World Evidence, Care Management Programs. Deep healthcare data experience (e.g., PBM experience, Provider Networks, Billing, Medical and Pharmacy claims), statistical analysis experience, and an understanding of all the associated clinical, utilization and financial levers.
Full-timeWork from homeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Requirements: Strong background in MTM with experience in a health plan or PBM setting preferred. Location: Remote (Must have licensure in LA, NJ, GA, KY) Duration: Mid-April through October 2024 (Possible Extension) Patient Population: Medicare About Us: We are in search of a proficient and seasoned Remote MTM/Med Adherence Pharmacist to fill a contract role within our team.
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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 Modular Pharmacy Business Management (PBM) Solution.
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The PBM Business Integration Specialist, as a Business Subject Matter Expert, will assist the Department to on-board the PBM vendor, serve as a business stakeholder, and represent the Pharmacy Business Unit in the implementation of the complex and innovative PBM Solution.
ExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Experience in Medicaid or Medicaid Management Information System (MMIS) projects; Knowledge of CMS seven standards and conditions and MITA frameworks; CMS certification requirements; Pharmacy Benefits Management (PBM), Provider (PDM/CVO) experience.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The PBM Product Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within the Product Management space. Expert knowledge of the Medicaid Pharmacy (PBM) processes, roles, and intended outcomes.
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Knowledge of the Medicaid Pharmacy (PBM) processes, roles, and intended outcomes. Registered Pharmacist / Business Integration Specialist. Knowledge of the Medicaid Pharmacy (PBM) processes, roles, and intended outcomes.
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Description The Sales Executive develops and executes sales and marketing strategies to attract new groups within the Blue Plan market to attain member growth.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
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Strong background in software test management with at least 10+ years of experience as a Test Lead/Test Manager. IT QA Test Lead. Report to and work closely with the QA Manager in creating and maintaining test plans, test strategies and testing roadmaps, tracking, and reporting on testing progress, quality metrics and milestones.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The QA Test Lead will be responsible for overseeing and managing the end-to-end testing of one or more modules in a mult million-dollar Medicaid Enterprise System (MES)/Medicaid Modular Information System (MIMS) project.
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We are looking for IT Quality Assurance Test Lead for our client in Raleigh, NC. Should have working knowledge of JIRA, SharePoint, and ServiceNow. Job Title: IT Quality Assurance Test Lead. Train and guide Business users through UAT; Prepare testing manuals as needed.
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