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 r