PBM Business Integration Specialist (Pharmacist)

Sunrise Systems

Edison, NJ

Job Title: PBM Business Integration Specialist

Job Id: 24-04987

Location: Raleigh, NC (Hybrid)

Duration: 01 Months On Contract

Roles and Responsibilities

Supports one or more Pharmacy business process areas, including.

Clinical policies and Prior Authorizations.

Drug Utilization Review (DUR) and pharmacy lock-in related processes

Behavioral health, and A+ kids.

Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP)

Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP)

Supports cross-functional activities that provide effective oversight of Medicaid Programs.

Collaborates and communicates with the PBM Business stakeholders (Product Managers, Product Owners, Business Leads.)

In-depth knowledge and understanding of the business needs across functions and business segments in healthcare that meet departmental goals.

Ability to research and recommend the development and implementation of business initiatives of the product enhancements.

Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for business solutions.

Apply

Vacancy posted 12 days ago

Similar jobs that could be interesting for youBased on the PBM Business Integration Specialist (Pharmacist) in Edison, NJ vacancy

Head of Business Development
$141.83k - $189.11k
...Job Description Job Title: Head of Business Development, OMS NORAM (US & Canada) \n Job Location: Edison, New Jersey or Atlanta... ...and communicate (internally and externally) complex and integrated commercial solutions at a high level \n Fully capable of executing...
Suggested
Contract work
Work at office
Deutsche Post und DHL
Edison, NJ
12 days ago
Business Development Director- Healthcare
...reach your goals.We are seeking a high-performing, results-driven Business Development Director to accelerate the growth of EisnerAmper's... ...processes while collaborating across service lines to deliver integrated client solutions. The Business Development Director is...
Suggested
Full time
Contract work
Local area
Remote work
EisnerAmper
Iselin, NJ
4 days ago
Clinical Pharmacist
...Genesis values of Compassion Excellence Integrity Team and Innovation. All employees must... ...development. QUALIFICATIONS 1. Licensed Pharmacist in the State of Ohio. 2. Excellent... ...calls uses personal computer and other business machines extensively which requires the...
Suggested
Full time
All shifts
Monday to Friday
Shift work
Rotating shift
Day shift
Genesis Primary Care Physicians
Somerset, NJ
11 days ago
Business Applications Specialist
...initiatives or small projects focused on business revenue goals. Establishes project... ...Support and maintain commercial data integrity with a focus on customer master data, collaborating... ...and mentor new Business Applications Specialists or other operational personnel hired....
Suggested
Full time
Work at office
Terumo Medical Corporation
Somerset, NJ
5 days ago
Business Intelligence Analyst
$71k - $94k
...The Business Intelligence Analyst supports the analysis of operational workflows and lifetime profitability to measure operational and... ...summarize data from our data warehouse and b) procedures that integrate this data into dynamic workbooks allowing for multiple levels...
Suggested
Full time
Work experience placement
Work at office
Plymouth Rock Assurance
Woodbridge, NJ
1 day ago
Senior Business Consultant - Cloud Advisory - Chicago / Dallas / NJ
Senior Business Consultant - Cloud Advisory - Chicago / Dallas / NJ Job Description: Understanding of client business objectives, challenges... .../ Divestitures, Optimization / Operating Model, Ecosystem Integration. Assess existing IT infrastructure and determine cloud...
Full time
Local area
XCUTIVES Inc.
Edison, NJ
19 hours ago
Managing Consultant- Enterprise Warehouse Management
$183.3k - $240.6k
...standards and to ensure quality. Qualifications Understanding of key business drivers and business benefits driven by SAP S/4HANA EWM... ...EWM Must be familiar with material handling systems and how to integrate them to SAP WM and Non SAP WM solutions Strong warehouse,...
Tata Consultancy Services
Edison, NJ
2 days ago
IAM Business Analyst
Job ID: 25654349Reference Number: 25-00591Title: IAM Business AnalystLocation: Iselin, NJ, 08830Posted Date: 2025-06-05Contact: Deepak... ...IAM capabilities and Governance procedures. Support System integration, user adoption and training related to new authentication and...
HAN Staffing
Iselin, NJ
2 days ago
Appian Business Analyst
Job ID: 25545274Reference Number: 25-00474Title: Appian Business AnalystLocation: Iselin, NJ, 08830Posted Date: 2025-05-19Contact: Devita... ...modernized solutions on the Appian platform. Oversee the integration of new processes into existing workflows, ensuring smooth transition...
Remote work
HAN Staffing
Iselin, NJ
2 days ago
Change Management Consultant
...role impacts, and readiness documentation. Translate technical and process changes into clear, user-friendly communication for both business and technical audiences. Collaborate with business leaders, SMEs, and project teams to gather inputs, validate impacts, and...
HAN Staffing
Iselin, NJ
4 days ago
SAP Functional Analyst - MM / WM
$130k - $160k
...to our state-of-the-art fulfillment center, every part of our business is designed to deliver unmatched quality, convenience, and care... ...SD as an added advantage to support end-to-end supply chain integration.This position reports to the Director - SAP. What You’ll DoOwn...
Full time
Work at office
Local area
FreshDirect
Woodbridge, NJ
6 days ago
SAP WM Functional Analyst
...following key responsibilities: Develop BRD in consultation with business users. Study the requirement and Provide estimations using... ...determination. Master data configuration and cross module integration EWM, IM, MM, PP etc. Automatic inbound delivery creation,...
HAN Staffing
Iselin, NJ
2 days ago
IT Business Analyst
Job ID: 19277394Reference Number: 23-00599Title: IT Business AnalystLocation: Iselin, NJ, 08830Posted Date: 2023-03-21Company: HAN Staffing... ...on solutions for large datasets for imaging and omics data integration Strong knowledge and experiences in infrastructure,...
Worldwide
HAN Staffing
Iselin, NJ
2 days ago
SAP Functional Analyst - CAR
...knowledge and technical expertise who determines how to fulfill business needs. Identifies and analyzes often difficult and complex... ...REQUIREMENTS Demonstrated advanced knowledge of SAP CAR, S4 integration points for transactional and master data. Good understanding...
Work experience placement
Local area
Remote work
HAN Staffing
Iselin, NJ
2 days ago
Eagle STAR/PACE Business Systems Analyst
...ID: 26599949Reference Number: 25-01340Title: Eagle STAR/PACE Business Systems AnalystLocation: Iselin, NJ, 08830Posted Date: 2025-10... ...dimensional time series, and techniques to guarantee robust data integrity Demonstrated ability to identify and understand critical...
HAN Staffing
Iselin, NJ
7 days ago
Business Systems Analyst
Job ID: 25892653Reference Number: 25-00773Title: Business Systems AnalystLocation: Iselin, NJ, 08830Posted Date: 2025-07-14Contact: Deepak... ..., and error handling. • Strong understanding of API integrations (REST/SOAP), data contracts, and how APIs interact across services...
HAN Staffing
Iselin, NJ
2 days ago
Business Data Analyst
Job ID: 22823713Reference Number: 24-00803Title: Business Data AnalystLocation: Iselin, NJ, 08830Posted Date: 2024-08-27Contact: Devita... ...is created, and how to bring it into the lower environments. Integrates subject matter and industry expertise within a defined area....
HAN Staffing
Iselin, NJ
7 days ago
Senior Business Analyst
$169.54k
...following position: Job Title : Senior Business Analyst Location : Xoriant... ...analysis, generating reports, and supporting integration enhancements. Tasked with creating... ...8837 Contact: Annmarie Hardie, HR Specialist and Paralegal Job ID: SRBA81024 Xoriant...
Xoriant Corporation
Edison, NJ
2 days ago
Business Analyst / Tableau Developers
Job ID: 20391053Reference Number: 23-01357Title: Business Analyst / Tableau DevelopersLocation: Iselin, NJ, 08830Posted Date: 2023-08-23Contact: Deepak KumarContact Email: ****@*****.*** Phone: (***) ***-****Company: HAN Staffing ResponsibilitiesLearns and...
HAN Staffing
Iselin, NJ
2 days ago
Business Development Manager - Tax, Audit, Consulting Sales -Technology Industry (NYC)
$102.8k - $176k
...There’s no one like you and that’s why there’s nowhere like RSM.Business Development Manager - Technology Industry in NYC/Metro RSM is... ...RSM professional staff to address client needs and deliver integrated solutions.Prepare and facilitate presentations, proposals, and...
Full time
Work experience placement
Internship
Local area
RSM International
Edison, NJ
4 days ago
SAP PP/MM functional consultant
...Process Chains, DPP, SNP and PPDS Modules. Hands on experience in integration with Non SAP Shop Floor Systems where Production Orders are... ...Understanding of Complex Supply Chain processes. Assist business users with ad-hoc queries and training as needed. Analyze and...
Work experience placement
Work at office
Local area
HAN Staffing
Iselin, NJ
2 days ago
Director, IT Business Partner - Enterprise
$217.46k
...healthcare and serve as a leader of positive change. The Director, IT Business Partner - Enterprise Applications (often referred to as a... ..., and optimization of the domain's core platforms and integration points, ensuring they serve as a reliable, accurate source of...
Hourly pay
Full time
Part time
Apprenticeship
Work experience placement
Work at office
Shift work
Night shift
Weekend work
Afternoon shift
Hackensack Meridian Health
Woodbridge, NJ
5 days ago
Entry-Level Business Development Representative
Entry-Level Business Development Representative Direct message the job poster from NileVista, Inc. At NileVista, we are dedicated to pushing... ...-Level Business Development Representative, you will be an integral part of our marketing team, focusing on lead generation and...
Full time
Work experience placement
NileVista, Inc.
Edison, NJ
19 hours ago
Business Operations Specialist
$21 - $22 per hour
Job Title: Business Operations and Billing Specialist Job Description This role supports the billing and operations functions in a domestic supply chain and transportation environment by managing all documentation and invoicing processes online. You review and reconcile...
Contract work
Temporary work
Work at office
Monday to Friday
Talentify
Woodbridge, NJ
5 days ago
AI Business Analyst/Consultant
We are looking for an experienced AI Business Analyst/Consultant to lead data science, analytics, and product insight initiatives for a growing organization in Edison, New Jersey. This Long-term Contract position will shape how data, experimentation, and AI are used to...
Long term contract
Robert Half
Edison, NJ
1 day ago
Business Systems Analyst
...Job Title Position based in Edison, NJ. Gather and define business rules using constraints and indexes. Analyze, design, develop, integrate, and implement automation processing and enhance existing CRM systems using Apex, Salesforce, Service & Sales Cloud, Lightning...
Relocation
Kaizen IT
Edison, NJ
1 day ago
Business Development Manager
$80k - $150k
...memory and storage, Innodisk has years of experience delivering data solutions across various industries. Now, we're stepping into the business of intelligence with our expertise and application insights. Our solutions serve as tailored building blocks for AI deployments...
Full time
Work experience placement
Monday to Friday
Innodisk Corporation
Edison, NJ
3 days ago
Business Development Manager
...looking for a dynamic Recruiting Manager who can help us continue growing by driving recruitment efforts while also developing new business relationships. The Role: As a Recruiting Manager, you will split your time between two critical functions: # Talent...
Full time
Flexible hours
Robert Half
Woodbridge, NJ
1 day ago
Risk Management Analyst
$56.43k
...guidelines and practices Maintains the confidentiality and integrity of all information encountered during work activities. Audits... ...Abilities Required: Minimum of Associates degree in Business, Insurance or related field or at least 5 years of related work...
Hourly pay
Full time
Part time
Apprenticeship
Work experience placement
Work at office
Shift work
Night shift
Weekend work
Afternoon shift
Hackensack Meridian Health
Iselin, NJ
4 days ago
Business Development Manager
$150k - $200k
...can translate into performance-based earning potential? We are looking for experienced sales professionals to join our team as Business Development Managers. In this role, you will work directly with prospective clients, identify their needs, present financial protection...
Full time
Part time
For contractors
Remote work
Flexible hours
Gibbons Group
Woodbridge, NJ
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to PBM Business Integration Specialist (Pharmacist). Be the first to apply!