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.)