pharmacist at Prospect Infosys Inc

Job Title: Pharmacist - PBM Business Integration Specialist Location: Raleigh, NC Duration: 12 Months Rate: $70/hr on 1099 /C2C About the Role 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. Knowledge of Medicaid Pharmacy Benefits Management processes, intended outcomes, and pain points is essential. This position will actively work with the Pharmacy Business team to define and provide the business support in completing the business process documents, Business use cases, Business case scenarios, user acceptance test case scenarios, and documentation in relation to Medicaid initiatives and strategic goals. This position may require interacting with the NC Medicaid Business Information Analytics Office, DHHS Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others. Roles and Responsibilities Clinical policies and Prior Authorizations. Drug Utilization Review (DUR) and pharmacy lock-in related processes Behavioral health, and A+ kids. Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP) Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP) Collaborates and communicates with the PBM Business stakeholders Preferred to have experience with Medicaid, managed care, and PBM operations. areas.