NCPDP F6 Migration Specialist

Role Description

We are seeking an expert-level Senior Consultant in Pharmacy Data Management and Analytics to lead our strategic data modernization initiatives within the US region. As the pharmacy ecosystem shifts its transaction standards, this role is critical in driving our enterprise transition from legacy NCPDP D.0 standards to the new F6 formats.

The ideal candidate is a deeply technical subject matter expert who possesses hands-on experience leading large-scale supplier re-onboarding, ensuring strict NCPDP F6 telephony and transaction compliance, and maintaining data integrity through advanced analytics during the migration process. You will serve as the primary technical liaison between our internal data architecture teams, PBMs, pharmacy switch networks, and external data suppliers.

Key Responsibilities

• NCPDP F6 Migration & Compliance
  • Serve as the primary subject matter expert (SME) on the transition from legacy NCPDP D.0 layouts to the new F6 standards for all US-based pharmacy transactions.
  • Validate and enforce NCPDP F6 telephony compliance and transaction routing protocols across the network.
  • Develop, document, and maintain comprehensive crosswalks, data maps, and business rules translating legacy D.0 data elements to F6 requirements.
  • Lead rigorous user acceptance testing (UAT) and compliance validation for all inbound and outbound F6 transaction feeds.
• Supplier Re-onboarding & Vendor Management
  • Spearhead the end-to-end re-onboarding process for external data suppliers (pharmacies, PBMs, and switch vendors) transitioning from D.0 to F6 layouts.
  • Host technical working sessions with supplier IT teams to troubleshoot transmission errors, layout rejections, and connectivity issues during the cutover phases.
  • Establish and monitor service level agreements (SLAs) for data quality and submission timeliness during the supplier migration lifecycle.
• Data Management & Analytics
  • Design and implement analytics dashboards to monitor transaction volumes, rejection rates, and data quality metrics pre- and post-F6 migration.
  • Perform root-cause analysis on anomalous data patterns, dropped claims, or mapping failures resulting from the layout change.
  • Partner with data engineering teams to optimize database schemas and ETL pipelines to ingest and process the heavier, more complex F6 data payloads.

Qualifications

• Experience: 7+ years of experience in US healthcare data management, specifically focused on pharmacy claims, PBM operations, or pharmacy switch networks.
• Domain Expertise: Documented, hands-on expert knowledge of NCPDP Telecommunication Standards, specifically the migration out of Version D.0 and the implementation of Version F6 formats.
• Technical Skills:
  • Deep understanding of pharmacy telephony compliance, claim routing, and electronic data interchange (EDI) protocols.
  • Proficiency in SQL and data analytics/visualization tools (e.g., Tableau, PowerBI) to track migration metrics and transaction health.
  • Experience analyzing and parsing raw telecom transaction strings and log files.
• Project Leadership: Proven track record of successfully managing complex, multi-vendor IT integrations or supplier re-onboarding projects in a highly regulated environment.
• Communication: Exceptional ability to translate highly technical NCPDP specifications into actionable requirements for business stakeholders and external vendor teams.
• Familiarity with major US pharmacy switch vendors (e.g., RelayHealth, Surescripts) and their specific F6 testing/certification environments.