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PDL Communication Detail Oriented Negotiation Skills Analyst
(Jobs in Raleigh, N
 
Requirement id 117013
Job title Analyst
Job location in Raleigh, NC
Skills required PDL, Business Rules, TIME MANAGEMENT, Communication Detail Oriented Negotiatio
Open Date 27-May-2021
Close Date
Job type Contract
Duration 11 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: PDL, Business Rules, TIME MANAGEMENT, Communication Detail Oriented Negotiatio

Start Date:06/01/2021

End Date:05/31/2022

Submission Deadline:06/03/2021

Client Info:NCDHHS-HB

*Note: Agency Interview Type: Either Webcam Interview or In Person

Description:

Position Overview:

This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.

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: 117013 while calling.
 
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Create date: 02-Nov-2022
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.

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Description :

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Assignment Capsule
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(Analyst: PDL, Business Rules, TIME MANAGEMENT, Communication Detail Oriented Negotiatio in Raleigh, NC)
     
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