Medicaid Pharmacy Subject Matter Expert

Overview

BerryDunn is seeking a Medicaid Pharmacy Subject Matter Expert who will provide subject matter expertise and project management skills to support our State Medicaid agencies’ delivery of pharmacy benefits. Duties will include, but not be limited to, working with business and technical subject matters who manage the day-to-day operations of pharmacy benefits for our clients; supporting systems procurements and implementations that help ensure Centers for Medicare & Medicaid Services (CMS) outcomes are met; and contributing knowledgeable content to support requirements development and performance measures.

This role will support the drafting of requests for proposals (RFPs); vendor procurements; vendor management; developing, executing and validating testing; risk management; and creating and facilitating training. The Medicaid Pharmacy Subject Matter Expert will work closely with BerryDunn team members, internal business leads and vendors to support proposed project plans and implementation strategies; and to support requirement validation sessions.

The Medicaid Pharmacy Subject Matter Expert will support core team tasked with leading and supporting the delivery of services to clients on time, within scope, and within budget. This position can be based remote or at one of the BerryDunn’s offices in West Virginia, Maine, Connecticut, Massachusetts, or New Hampshire. 

Travel Expectations: Willingness to travel 30 to 50%.

You Will

• Provide subject matter expertise to support client projects and/or initiatives related to the procurement and implementation Medicaid enterprise systems that support the delivery of pharmacy benefits to Medicaid members.
• Provide subject matter expertise related to drug rebates, drug utilization review, pharmacy point of sale systems and/or pharmacy claims adjudication
• Help facilitate meetings and interviews with client stakeholders, including development of presentations and other materials to support meetings.
• Conduct project management tasks such as tracking and reporting project progress, maintaining a project document repository, and reviewing deliverables for quality assurance.
• Lead the development of concise summaries, reports, and presentations of complex data and information for client leadership.
• Provide functionality and/or technical expertise in resolving inquiries from other teams about solutions within their area of specialization.
• Analyze, review, and manage vendor supplied documentation.
• Provide subject matter expertise to support Medicaid clients for project activities, including, but not limited to:
  • Analyzing risks and opportunities.
  • Scheduling, facilitating and/or attending meetings with clients and vendors.
  • Assisting in stakeholder management and engagement.
  • Researching, reviewing and/or proposing potential program changes.

You Have

• Bachelor’s degree (master’s preferred).
• Demonstrated written and verbal communications skills.
• Demonstrated ability to adapt and be resourceful to changing needs of the project and client(s).
• Demonstrated ability to excel in a team setting.
• Excellence in the areas of time management, flexibility, critical thinking, and attention to detail.

Preferred qualifications/experience

• Experience supporting initiative focused on commercial over the shelf (COTS) solutions, and/or familiarity with software as a service (SaaS) models, and/or cloud applications.
• At least 3 years in a project manager or technical lead role for pharmacy or pharmacy-related services in fee for service or managed care applications.
• Experience working at a national or regional consulting firm, state health and human services/Medicaid agency, a pharmacy benefits vendor, and/or technology vendors that supports the delivery of state Medicaid pharmacy benefits.
• Project Management Institute (PMI) Project Management Professional® (PMP) certification, and/or other industry recognized project management credential.

Compensation Details

The base salary range targeted for this role is $110,000 - $130,000. This salary range represents BerryDunn’s good faith and reasonable estimate of the range of possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications in excess of the minimum requirements for this posting, that applicant is encouraged to apply and a final salary range may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The salary of the finalist selected for this role will be based on a variety of factors, including but not limited to, years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations.

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BerryDunn Benefits & Culture

Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.

We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process or perform essential job functions. Please contact careers@berrydunn.com to request an accommodation.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

About BerryDunn

BerryDunn is a client-centered, people-first professional services firm with a mission to empower the meaningful growth of our people, clients, and communities. Led by CEO Sarah Belliveau, the firm has been recognized for its efforts in creating a diverse and inclusive workplace culture, and for its focus on learning, development, and well-being. Learn more at berrydunn.com.

BerryDunn is the brand name under which Berry, Dunn, McNeil & Parker, LLC and BDMP Assurance, LLP, independently owned entities, provide services. Since 1974, BerryDunn has helped businesses, nonprofits, and government agencies throughout the US and its territories solve their greatest challenges. The firm’s tax, advisory, and consulting services are provided by Berry, Dunn, McNeil & Parker, LLC, and its attest services are provided by BDMP Assurance, LLP, a licensed CPA firm.

“BerryDunn” is the brand name under which Berry, Dunn, McNeil & Parker, LLC and BDMP Assurance, LLP practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations and professional standards. BDMP Assurance, LLP is a licensed independent CPA firm that provides attest services to its clients, and Berry, Dunn, McNeil & Parker, LLC and its subsidiary entities provide tax, advisory, and consulting services to their clients.