Principal TPM - PBM Data Integrations

Job Summary

A company is looking for a Principal TPM - PBM Benefit Data Integrations.

Key Responsibilities

• Own end-to-end delivery of PBM benefit data integration initiatives impacting claims, eligibility, accumulators, and related platforms
• Identify, assess, and manage program risks while coordinating root-cause remediation efforts
• Drive cross-functional alignment on technical and operational requirements for scalable integration design

Required Qualifications

• Bachelor's degree in Statistics, Mathematics, Engineering, Computer Science, Business Analytics, or related quantitative field
• 10+ years of experience in healthcare analytics, PBM operations, data integration, or business systems analysis
• Experience within a PBM or healthcare claims processing environment
• Advanced proficiency in SQL and experience with data ETL processes and file delivery mechanisms
• Working knowledge of ANSI/NCPDP Telecommunication Standard and PBM claim processing