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PDL Word And Excel Business Analyst Analyst
(Jobs in Raleigh, NC)
 
Requirement id 137329
Job title Analyst
Job location in Raleigh, NC
Skills required Pharmacy Data Analyst, PDL, MS Outlook, Word And Excel Business Analyst
Open Date 02-Nov-2022
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Pharmacy Data Analyst, PDL, MS Outlook, Word And Excel Business Analyst

Start date :10/24/2022

End Date :10/23/2023

Submission deadline :11/8/2022

Client Info :NCDHHS-HB

Description :

NC DHHS Division of Health Benefits is seeking a Business Systems Analyst.

This position will be responsible for managing the relationship between the Divisions pharmacy program and the system functionality that enforces the business rules and requirements specific to pharmacy operations within the Medicaid program.

Job Specific Responsibilities

Monitor PHP data reports and identify issues
Research Pharmacy issues
Identify defects and track to resolution
Request system enhancements and track to resolution

Preferred Knowledge, Skills, and Abilities:

• Experience with Pharmacy claim adjudication
• Working knowledge of First Data Bank (FDB) drug classifications such as therapeutic drug classes, NDCs, GSNs, GCNs, etc.), drug dosage, packaging and pricing
• Understanding of Medicaid PDL (for generic and brand drugs), preferred/non-preferred drug, prior authorization criteria/rules, lock-in program requirements and drug utilization review (both ProDUR and RetroDUR).
• Experience with gathering requirements and interpreting business rules
• Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines
• Excellent communication, negotiation, conflict resolution and persuasion abilities
• Strong organizational, time management, communication, and detail-oriented skills
• Highly proficient with Microsoft Outlook, Word and Excel
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 137329 while calling.
 
Other jobs in NC: Chapel Hill (2), Charlotte (58), Dix Campus (1), Greensboro (3), Morrisville (2), North Charlotte (2), Raleigh (96), St Raleigh (2), Winston Salem (3),
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Note:
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(Analyst: Pharmacy Data Analyst, PDL, MS Outlook, Word And Excel Business Analyst in Raleigh, NC)
     
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