Support communication of clinical program and formulary changes to members and providers as well as internal stakeholders.
Support quality assurance processes of clinical programs and formulary strategy
Support compliance with PBM Accreditation requirements
Support departmental compliance with state and federal regulations.
Conducts root cause analysis of processes and issues, identifies, and makes recommendations for improvements, and develops documentation.
Communicate plans, status, and issues within the team, group, or project, including business members and management.
Requirements
Requires a BS/BA degree in related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.
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