Description

You will oversee Pharmacy Benefits Management (PBM) processes for the Medicaid Enterprise System (MES) project in Raleigh, NC.

Responsibilities

• Develop business process documents, user stories, business case scenarios, and user acceptance test cases.
• Translate business owner needs into detailed, actionable requirements.
• Document database queries to analyze performance indicators and evaluate survey data.
• Provide training on product knowledge, usage, and implementation via in-person or virtual methods.
• Collaborate with Product Managers, Product Owners, and Business Leads to achieve product deliverables.

Required Skills

• 5+ years of experience in Medicaid, Healthcare, or Managed Care environments.
• Expert knowledge of Medicaid Pharmacy Benefits Management (PBM) processes.
• Experience working with Medicaid applications, specifically within Pharmacy functional areas.
• Understanding of the CMS MITA Framework across Medicaid Business, Information, and Technical Architecture.
• Ability to support the full product lifecycle from conception through implementation.
• Experience interacting with cross-functional offices including Privacy, Security, Policy, and General Counsel.
• Strong ability to define successful criteria for testing and product acceptance.

Preferred Skills

• Experience in Product Management environments working alongside Product Managers and Business Leads.

Key Skills

Education

Any Graduate