Data Architect

Job Description:

• Looking for Pharmacy Benefit Management / Part -D Data Architecture and Data Domain Experience.
• Looking for someone who has actually worked with a PBM such as express script caremark OntumRx Medlmanct, Prime Therapeutics, Argus Health or other Tier 2 Pharmacy Benefit Administrator.
• Data Architecture, Data Engineering, Data Management, Cloud Data Management etc. with a PBM client asap.

Roles and Responsibilities:

• Lead successful delivery of Centene – PBM NBI Medicaid Plans Implementations across 21 US States, Commercial Plans, Centene Employee Benefits & Ambetter Exchanges Plans Implementations, SHARP Healthcare, Health Partners Plans of PA, and Anthem Medicaid Plans Implementations
• NBI Implementation direct discussions with Centene PBM Stakeholders
• Managing the delivery of NBI [New Business Implementation] & MOB [Maintenance of Benefits] cases on daily basis
• Defect Manager in setting up War room calls, collaborate with all primary stakeholders such as BRMs, Clinical Team, Coders, Pharmacy and Network Pricing Team, Testing Team, CVS Health RxClaim IT Team etc. to bring out the issues on to closure
• Daily Scrum and Operations call status with Client Stakeholders
• Prepare RTM to track against Requirements
• Prepare Issues Report
• Collaboration with multi-vendor onshore and offshore team
• Analyze Production Correction Issues and present RCAs
• Present RCA Improvement action plan to improve quality standards
• Mentoring and training project members to enable them to perform their activities effectively