MC-Rx

Ensure detailed documentation of business requirements and act as a SME for PBM functionalities, collaborating with IT and development teams. | Minimum 5 years of PBM operations experience, expertise in NCPDP standards, and ability to work independently and gain consensus across departments. | PRINCIPLE RESPONSIBILITIES Include But Are Not Limited To • Ensure business requirements are documented to the correct level of detail to facilitate development. • Document/define functional and business requirements for claims adjudication system. • Work toward becoming a subject matter expert (SME) for PBM functionality and processes. • Partner with IT and Software Development organizations to provide business direction and clarify any lack of understanding in that direction. • Help deliver specific initiatives as assigned by PBM Senior Management (LOB and Corporate) in the requirements development process. • Work with the Primary departmental point of contact for researching regulatory and industry initiatives and their impact on future system enhancements as needed. • Review Development Requests and make recommendations to help ensure consistency and compliance with NCPDP standards. Skills And Requirements • Bachelor’s degree. • Minimum 5 years’ work experience in PBM Operations. • NCPDP standards expertise and active participation. • Ability to gain consensus on key issues across multiple departments and interests. • Systems aptitude and general understanding of software development activities. • Ability to work independently; be deadline and deliverable driven.