Senior Specialist - Data Sciences
LTM
Role Pharmacy Store AI Business AI led PBM Product ownerLocation: Dallas, TX (OR) Boston, MARequired SkillsPBM Pharmacy Store workflows components Python ML frameworks observability tools cloud services automation platforms AIOps toolsetsJob OverviewML led product owner for Pharmacy Biz operations predictive insights Process automation operational data analysis AIdriven automation and model tuning for PBM workflows as listed below1Benefit Design and Formulary Creation Plan Setup experience2Employers or insurance plans management from prescription build to coverage rules deductibles and copay tiers3Contracting Network Assembly able to understand and execute workflows with retail pharmacy chains independent local pharmacies and mailorder services4Reimbursement Rates The PBM sets the rules for dispensing a drug and their management5Pharmacy Network management Manufacturer Rebates orchestration6RealTime Claims Adjudication7Drug inventory management storefront8Financial Settlement and Reconciliation Reimbursement Payment
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