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We are looking for CRM Administrator for our client in Raleigh, NC
Job Title: CRM Administrator
Job Location: Raleigh, NC
Job Type: Contract
Job Description:
Responsibilities:
We are looking for CRM Administrator for our client in Raleigh, NC
Job Title: CRM Administrator
Job Location: Raleigh, NC
Job Type: Contract
Job Description:
Responsibilities:
- Supports one or more pharmacy business process areas, including: Clinical policies and prior authorizations.
- Drug Utilization Review (DUR) and pharmacy lock-in processes.
- Behavioral health and A Kids programs.
- Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP).
- 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 PBM business stakeholders, including product managers, product owners, and business leads.
- Demonstrates in-depth knowledge and understanding of business needs across healthcare functions and segments to meet departmental goals.
- Researches and recommends the development and implementation of business initiatives or product enhancements.
- Provides feedback and input to senior-level decision-makers to support development of long-range strategic alternatives for business solutions.
- Preferred to have experience with Medicaid, managed care, and Pharmacy Benefit Manager (PBM) operations.
- Experience with Medicaid applications, preferably across pharmacy functional areas.
- Communicates with business owners to understand needs and translates them into detailed and actionable requirements.
- Ensures compliance with all applicable policies and procedures.
- Supports the product lifecycle from conception through implementation.
- Performs other duties as assigned.
- Supports the Business Management function to achieve successful development of the Pharmacy Benefit Management solution for the Medicaid program.
- Collaborates with the business owner and business team to develop the strategy behind how each MES module will support business requirements.
- Responsible for translating and specifying all functional requirements to ensure alignment with business needs.