Description

You will support the Medicaid Enterprise System (MES) program by providing independent product oversight for Pharmacy Benefits Management (PBM).

Responsibilities

• Develop business process documents, user stories, business case scenarios, and user acceptance test case scenarios.
• Collaborate with Product Managers, Product Owners, and Business Leads to communicate product deliverables.
• Research and recommend new product initiatives and current product enhancements.
• Translate business owner needs into detailed, actionable requirements.
• Document database queries to analyze performance indicators and define criteria for testing and product acceptance.
• Provide training on product knowledge, usage, and implementation via in-person or virtual methods.

Required Skills

• 5+ years of experience in Medicaid, Healthcare, or Managed Care environments.
• Expert knowledge of Medicaid Pharmacy Benefits Management processes and outcomes.
• Experience with Medicaid applications, specifically within Pharmacy Functional Areas.
• Working knowledge of the CMS MITA Framework regarding Medicaid Business, Information, and Technical Architecture.
• Ability to interact with Analytics, Data, IT, Privacy, Security, Policy, and Legal offices.
• Experience supporting the full product lifecycle from conception through implementation.
• Ability to provide feedback and strategic alternatives to senior-level decision-makers.

Key Skills

Education

Any Graduate