Senior Specialist - Data Sciences
Dallas - Texas - USAOn-siteFull-timeData & Analytics
Description
Role Pharmacy Store AI Business AI led PBM Product owner Location: Dallas, TX (OR) Boston, MA Required Skills PBM Pharmacy Store workflows components Python ML frameworks observability tools cloud services automation platforms AIOps toolsets Job Overview ML led product owner for Pharmacy Biz operations predictive insights Process automation operational data analysis AIdriven automation and model tuning for PBM workflows as listed below 1Benefit Design and Formulary Creation Plan Setup experience 2Employers or insurance plans management from prescription build to coverage rules deductibles and copay tiers 3Contracting Network Assembly able to understand and execute workflows with retail pharmacy chains independent local pharmacies and mailorder services 4Reimbursement Rates The PBM sets the rules for dispensing a drug and their management 5Pharmacy Network management Manufacturer Rebates orchestration
6Real Time Claims Adjudication 7Drug inventory management storefront 8Financial Settlement and Reconciliation Reimbursement Payment
Requirements
Mandatory Skills : Automation, GCP AI Services, Machine Learning - AIOPS, ML model development, Python