PBM Business Integration Specialist // Pharmacist // Raleigh, NC //

Overview

Hybrid
Depends on Experience
Contract - Independent
Contract - W2
Contract - 12 Month(s)

Skills

Pharmacy SME with deep Medicaid PBM
DUR
PDL/MDRP
Medicaid pharmacy operations

Job Details

Job Title: PBM Business Integration Specialist (Pharmacist)

Location: Raleigh, NC

Duration: 12+ Months


Seeking a Pharmacy SME with deep Medicaid PBM, DUR, PDL/MDRP, Prior Authorization, and clinical policy expertise to support a major Medicaid Enterprise PBM implementation.
Role serves as a key business stakeholder, guiding requirements, business process docs, UAT scenarios, and PBM vendor onboarding.
Must have strong knowledge of Medicaid pharmacy operations, drug rebate programs, PADP, pharmacy lock-in, and cross-function healthcare processes.
Works closely with Pharmacy, Policy, Data, IT, and Medicaid leadership to ensure accurate, compliant, strategic PBM business integration.


Pharmacists with PBM/Medicaid experience encouraged to apply!

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