Rx Subject Matter Expert (SME)

«out Conduent Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Job Description Rx Subject Matter Expert (remote) Description Provides subject matter expertise for a variety of Medicaid PBM operational services and product functionality to internal pursuit teams in key PBM functions as they relate to pharmacy benefits administration. Use your pharmacy benefits management experience, and skills to guide customers on how to fully integrate pharmacy and related applications including drug rebate, using best practices. Review and update pharmacy related deliverables Produces reports that show how applications and new pharmacy processes provide value Provides prompt and accurate solutions for pharmacy application and process related challenges Identifies and documents process improvements and procedures Demonstrate knowledge of Pharmacy concepts, practices, and procedures used specifically within a healthcare technology environment Provide best practice guidance on workflows, dictionary build, opportunity gaps, reporting, updating, and department utilization/operation Evaluating workflow, gap analysis, and future state design Assist in the development advanced clinical components (medication order strings, order sets, etc.) Evaluating the formulary service monthly loads during the implementation process Building clinical decision support screens and protocols Educate end-users on pharmacy-specific workflows and efficient use of the system Recommend process improvement Liaison and primary contact to the IT staff during the engagement. Creates, reviews, edits written narrative and oral presentations. Accurately translates technical knowledge and requirements into clear and concise communications that emphasize business value to clients. Understands PBM current and emerging technologies, and the practical/potential application of these technologies to current and future operating models Travel 25% Qualifications Bachelor’s in Pharmacy or PharmD; Experience in the business or technical operations of a State Medicaid program across member, provider, claims and care management) Experience implementing a PBM and or a MMIS for a State Medicaid Agency Knowledge of Pharmacy, Billing, Registration, Order Management, and integration Member of NCPDP preferred Experience maintaining the formulary and the clinical decision support process Deep understanding of dictionary integration across applications and building processes Setup and maintenance experience with third-party systems Excellent communication skills Hold a valid driver’s license. Advanced subject matter expertise in Medicaid Pharmacy Benefit Management (PBM) systems, services, and operations Proficient using SharePoint, Word, PowerPoint, MS Teams Closing Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the