Pharmacy Business Systems Integration Specialist

About the Role

Our government client is seeking a Pharmacy Benefit Integration Specialist (Pharmacist) to support Medicaid Pharmacy (PBM) operations and business integration initiatives. This role requires strong clinical knowledge, Medicaid/PBM expertise, and experience collaborating with IT, business, and leadership teams to enhance pharmacy program effectiveness.
This is a hybrid role based in Raleigh, NC.

Essential Responsibilities

• Support pharmacy benefit program operations, workflows, and business integration activities.
• Provide subject matter expertise on pharmacy lines of business including retail, LTC, home infusion, specialty, institutional, and mail order.
• Review PBM processes and contribute to achieving program goals and operational outcomes.
• Research drug information and support clinical decision-making.
• Ensure compliance with all applicable pharmacy, Medicaid, HIPAA, and PII regulations.
• Collaborate with cross-functional teams to support PBM enhancements and strategic initiatives.
• Assist senior decision-makers by reviewing documentation and offering recommendations.
• Contribute to project planning, business analysis, and product or application initiatives.
• Manage multiple priorities in a fast-paced, deadline-driven environment.
• Prepare summaries, reports, and complex documentation with high attention to detail.
• Support Agile team activities and participate in related tools and workflows.

Required Qualifications

• Graduation from an accredited School of Pharmacy (B.S. or PharmD).
• Active, unrestricted Pharmacist license (minimum 3 years).
• Ability to obtain North Carolina Pharmacist license within 90 days.
• 3 years of experience in pharmacy business lines (retail, LTC, specialty, etc.).
• 3 years of experience with Medicaid Pharmacy (PBM) processes.
• 3 years of drug information experience.
• 3 years of experience managing multiple priorities and professional communication.
• 3 years of experience working with applicable policies and procedures.
• 3 years of experience in business analysis, product management, project management, or software application development.
• 3 years of experience preparing reports, summaries, and complex documentation.
• 3 years handling HIPAA and PII-sensitive data.
• 3 years of managed care or related healthcare program experience.
• 3 years of Medicaid program or healthcare information experience.
• 3 years of proficiency with Microsoft Word, Excel, PowerPoint, Access, and Adobe.
• Ability to work in a hybrid schedule and attend webcam interviews.

Preferred Qualifications

• 1 year of experience with Enterprise IT systems integration.
• 2 years of experience in Agile methodologies and tools.

Why Join Us

• Opportunity to work on high-impact state healthcare and PBM initiatives.
• Collaborative, mission-driven work environment.
• Professional growth supporting large-scale Medicaid operations.
• Hybrid schedule with flexibility.

Job Types: Full-time, Contract

Pay: $68.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance

Experience:

• Graduation from an accredited School of Pharmacy: 1 year (Required)
• Active, unrestricted Pharmacist license: 3 years (Required)
• pharmacy business lines (retail, LTC, specialty, etc.).: 3 years (Required)
• Medicaid Pharmacy (PBM) processes.: 3 years (Preferred)
• drug information: 3 years (Required)
• managing multiple priorities and professional communication.: 3 years (Required)
• working with applicable policies and procedures.: 3 years (Preferred)
• business analysis, product management, project management: 3 years (Required)
• reports, summaries, and complex documentation.: 3 years (Required)
• handling HIPAA and PII-sensitive data.: 3 years (Required)
• managed care or related healthcare program: 3 years (Required)
• Medicaid program or healthcare information: 3 years (Preferred)

License/Certification:

• U.S. Citizenship or a Green Card (Required)

Ability to Commute:

• Raleigh, NC 27699 (Required)

Work Location: In person

Salary : $68