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BA with PBM at Remote, Remote, USA
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From:

Darshana Sakroo,

LiveMindz

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Job Description

10+ years experience with 4+ PBM

    Conduct in-depth analysis of PBM operations, including claims processing, formulary management, and network contracting, to identify opportunities for optimization and efficiency improvements.

    Analyze market trends, competitor strategies, and regulatory changes to assess their impact on PBM and healthcare programs, and make recommendations for adaptation.

    Collaborate with cross-functional teams, including IT, operations, finance, and client services, to gather business requirements and develop innovative solutions to meet client needs.

    Lead the design and implementation of new programs and initiatives, such as coupon and discount card programs or patient assistance programs, ensuring alignment with business objectives and regulatory requirements.

    Develop and maintain detailed project plans, timelines, and documentation to track progress and ensure successful implementation of initiatives.

    Perform quantitative and qualitative analysis to evaluate the effectiveness of existing programs and initiatives, and make data-driven recommendations for optimization.

    Provide subject matter expertise and guidance to internal teams and external clients on PBM and healthcare program-related matters.

    Support business development efforts by participating in client meetings, presenting analysis findings, and contributing to the development of proposals and presentations.

    Stay current on industry trends, best practices, and emerging technologies in PBM and healthcare programs, and proactively identify opportunities for innovation and improvement.

Keywords: information technology
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09:46 PM 19-Mar-24


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