Business Integration Specialist - Raleigh, United States - Omega Solutions Inc

    Omega Solutions Inc
    Omega Solutions Inc Raleigh, United States

    1 month ago

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    Description
    Roles and Responsibilities


    • Supports one or more Pharmacy business process areas, including.
    o Clinical policies and Prior Authorizations.

    o Drug Utilization Review (DUR) and pharmacy lock-in related processes

    o Behavioral health, and A+ kids.

    o Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP)

    o Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP)


    • Supports cross-functional activities that provide effective oversight of Medicaid Programs.
    • Collaborates and communicates with the PBM Business stakeholders (Product Managers, Product Owners, Business Leads.)
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