About The Position

The Senior Advisor – NCPDP Standards Implementation BPO serves as the key liaison between internal business sponsors and technical teams to translate / define business intent into actionable requirements and oversees projects from ideation through production to ensure compliance and operational excellence. They serve as consultants on business requests related to claim billing processes involving NCPDP standards (e.g., reject codes, submission clarification code overrides, etc.). In addition, this role plays a strategic part in shaping industry standards by actively participating in NCPDP task groups, committees, and work groups, advocating for organizational priorities, and driving innovation that benefits both the company and the broader healthcare ecosystem.

Requirements

  • Bachelor’s degree preferred; High school diploma or equivalent required.
  • 5+ years of experience in pharmacy benefit management, healthcare technology, or standards implementation.
  • Deep knowledge of NCPDP Telecommunication Standard and retail POS processes.
  • Knowledge of Agile methodology and proficiency in Jira preferred.
  • Experience with cross-functional collaboration between business and technology teams.
  • Strong business, technical, and financial acumen.
  • Excellent communication, facilitation, and organizational skills.
  • Proven ability to manage multiple projects in a fast-paced, ambiguous environment.
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Responsibilities

  • Participate in defining business requirements with business sponsors and technical teams for new and modified business applications, products, or other business requests
  • Apply Express Scripts project tools and methodologies to advance business requests
  • Participate in essential meetings, ceremonies, and release planning conversations to a successful and timely implementation
  • Communicate and report on progress regularly with stakeholders
  • Prioritize and manage workload and meet project deadlines
  • Represent the organization at NCPDP, serving as a thought leader and advocate for business needs.
  • Influence the development and evolution of NCPDP standards by contributing to discussions, submitting proposals, and collaborating with industry stakeholders.
  • Drive innovation by identifying opportunities for enhancements to claim billing processes and standards that improve efficiency and accuracy across the industry.

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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