PBM Product Reqmts Mgr

ProCare RxGainesville, GA
4d

About The Position

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.

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.

Responsibilities

  • 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.
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