- Prime Therapeutics (Richmond, VA)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Elevance Health (Richmond, VA)
- …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... benefit management and pharmacy operations teams. + Ensures compliance of the Medicaid formularies with state/federal mandates and...+ Minimum of 2 years of managed care pharmacy ( PBM ) experience or residency in lieu of work experience;… more