North Carolina Licensed Pharmacist Specialist

Job Summary

A company is looking for a PBM Business Integration Specialist (Pharmacist).

Key Responsibilities

• Serve as the subject matter expert for various Pharmacy business process areas including Clinical policies and Prior Authorizations, Drug Utilization Review, and Medicaid Drug Rebate Program
• Collaborate with cross-functional teams and stakeholders to ensure effective oversight and implementation of Medicaid Programs
• Provide business support in developing process documents, use cases, and user acceptance test scenarios related to Medicaid initiatives

Required Qualifications

• Graduation from an accredited School of Pharmacy with a B.S. or Doctor of Pharmacy degree
• Registered Pharmacist with a valid and unrestricted Pharmacist license
• Understanding of pharmacy lines of business, including retail and specialty
• Knowledge of Medicaid Pharmacy processes and intended outcomes
• Experience in business analysis, product management, or project management within healthcare settings