Pharmacy Benefit Management (PBM) Subject Matter Expert (SME)

• Posted 5 days ago • Updated 5 days ago
Contract Corp To Corp
Fitment

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Job Details

Skills

  • PBM

Summary

  • Candidate should have deep understanding of Pharmacy Benefit Management (PBM) business processes including Claims Adjudication, Data related processes (e.g. Eligibility data, Provider data, Drug data, Formulary data, Drug Utilization reviews) and their interconnections. Strong plus if candidate has experience with Electronic Prescriptions and Prior-Authorizations related standards.
  • Deep understanding of related PBM standards from NCPDP. Strong plus if candidate also understands CMS regulations related to state Medicaid Pharmacy programs.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 90915265
  • Position Id: 2026-92
  • Posted 5 days ago
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