Hybrid Drug Program Specialist Role

Contribute your expertise in drug benefits with Accerta as a Drug Program Specialist in a hybrid work environment. This full-time role tackles complex claims adjudication, ensuring compliance and program efficacy.

As a key player, you will oversee drug benefit policy, data analysis, and pricing structures. You'll partner with cross-functional teams to develop and maintain adjudication logic, support testing workflows, and ensure alignment with ever-evolving program requirements. Your insights will guide operational success and stakeholder collaboration.

Key Responsibilities:
• Act as internal drug benefits expert for policy applications
• Translate business needs into clear system requirements
• Collaborate with stakeholders to validate rule configurations
• Support issue resolution and assess program risks
• Monitor performance and maintain up-to-date documentation

Requirements:
• 8+ years in drug benefits admi...