Remote
•
6d ago
What You Will DoAct as a subject matter expert in pharmacy benefit plan design across RxCLAIM or similar adjudication platforms.Create Current state flows for each functional component and their interactions with benefit build process within RxCLAIM and downstream applications.Develop and document plan designs including tier structure, copays, accumulators, exclusions, step therapy, quantity limits, and PA requirements.Collaborate with actuarial, clinical, and compliance teams to ensure benefit
Full-time
$140,000 - $160,000