job summary: 100% Remote Pharmacy Benefits Management Direct Hire or Contract to Hire Responsibilities: - Ensuring adherence to best practices and industry standards. - Collaborate with cross-functional teams to gather requirements and translate business needs into technical solutions. - Architect and optimize database structures to ensure efficient data storage and retrieval for the adjudication system. - Implement backend functionalities and business logic to support the business processes. ensuring accuracy and compliance with regulatory requirements. - Advise leadership and technology team on project status and opportunities for improvement. - Works independently and within a team on special nonrecurring and ongoing projects. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. REQUIRED SKILLS AND COMPETENCIES: - Visual Studio - C# - SQL Server stored procedures, functions, and general administration - Git Repositories - Microsoft Teams - Flow charts such as Lucid Charts - Understanding and some experience in Figma - Azure DevOps build pipelines and releases - Ability to work with external APIs to utilize for internal business processes - Find cost-effective solutions to improve monthly development costs and mentor junior developers on how to develop in a cost-effective manner. - Mentor junior developers to ensure they adhere to best coding practices. - Ability to communicate effectively. - Ability to troubleshoot problems in unknown situations and provide effective feedback on a path forward. - Ability to work independently and make logical business decisions given general guidance. - Ability to consolidate ideas and collaborate with cross-functional working groups SKILLS AND COMPETENCIES: - Working knowledge of prescription claim electronic data interchange along with the overall reimbursement cycle for pharmacies. - Familiarity with pharmacy management, especially around adjudication, formularies, and pricing is a significant plus. - Ability to communicate at all management levels within an organization, including internal, customers, vendors, and business partners. - Ability to communicate with outside vendors and their technical teams to create shared solutions for business problems. location: Natchitoches, Louisiana job type: Contract salary: $50 - 80 per hour work hours: 8am to 4pm education: Bachelors responsibilities: - Ensuring adherence to best practices and industry standards. - Collaborate with cross-functional teams to gather requirements and translate business needs into technical solutions. - Architect and optimize database structures to ensure efficient data storage and retrieval for the adjudication system. - Implement backend functionalities and business logic to support the business processes. ensuring accuracy and compliance with regulatory requirements. - Advise leadership and technology team on project status and opportunities for improvement. - Works independently and within a team on special nonrecurring and ongoing projects. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.qualifications:
- Experience level:
- Education: Bachelors
skills:
Agile MethodologypharmacyAPI.NETC#GITSQLFigmaAzureDevOpsC# Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact ...@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility). This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.