Information Technology

Employment TYPE

Contract

LOCATION

Raleigh, North Carolina

DATE POSTED

May 28, 2021

INDUSTRY

Information Technology

POSITION(S)

1

SALARY

Negotiable

Job# J1378

Pharmacy Analyst (652456)

About The Opportunity

This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business.

Job Description

  • This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.
  • Job Specific Responsibilities
  • Monitor PHP data reports and identify issues
  • Research Pharmacy issues
  • Identify defects and track to resolution
  • Request system enhancements and track to resolution

Required Skills

Desired Skills

    Preferred Knowledge, Skills, and Abilities:
  • Experience with Pharmacy claim adjudication
  • Working knowledge of First Data Bank (FDB) drug classifications such as therapeutic drug classes, NDCs, GSNs, GCNs, etc.), drug dosage, packaging and pricing
  • 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).
  • Experience with gathering requirements and interpreting business rules
  • Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines
  • Excellent communication, negotiation, conflict resolution and persuasion abilities
  • Strong organizational, time management, communication, and detail-oriented skills
  • Highly proficient with Microsoft Outlook, Word and Excel

Duration

12 Months

Please Contact me to discuss the hiring process!

Vomsi Kumar

Sr. Executive Recruiter
Contact: (310) 929-8421 Ext: 103
Email: vomsi.kumar@staffactory.com

Hi! My name is Vomsi Kumar. Helping consultants with getting their desired job is what makes me feel alive. I build a unique relationship with each of my consultants and work on their profile as per their needs. I believe that my consultants are my assets and this motivates me to serve them in an even better manner. Hence, I work towards the success of every consultant I work with.