Found Description
Accerta is looking for a Drug Program Specialist to enhance drug claims adjudication processes. This full-time position supports a hybrid work setup, focusing on compliance and operational readiness.
As an expert in drug benefits, you will assist in the development of adjudication logic and drive collaborative efforts with both internal teams and external partners. Your focus will be on translating complex business needs into actionable requirements while ensuring alignment with programmatic rules and regulatory changes.
Key Responsibilities:
• Support and maintain drug benefit policy and data accuracy
• Engage in requirement translation for system setups
• Work with clients to validate and confirm outcomes
• Monitor and address performance issues post-launch
• Stay informed of industry trends affecting drug benefits
Requirements:
• 8+ years in drug program management or claims adjudication
• Strong understanding of drug formularies and pricing
• Knowle...
As an expert in drug benefits, you will assist in the development of adjudication logic and drive collaborative efforts with both internal teams and external partners. Your focus will be on translating complex business needs into actionable requirements while ensuring alignment with programmatic rules and regulatory changes.
Key Responsibilities:
• Support and maintain drug benefit policy and data accuracy
• Engage in requirement translation for system setups
• Work with clients to validate and confirm outcomes
• Monitor and address performance issues post-launch
• Stay informed of industry trends affecting drug benefits
Requirements:
• 8+ years in drug program management or claims adjudication
• Strong understanding of drug formularies and pricing
• Knowle...