Principal PBM Data Integration Lead

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Descrição

Who is Prescryptive? Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com. About this role This is a hands-on technical role for a PBM data integration expert who also owns program delivery. You’ll profile, map, and validate claims, eligibility, and accumulator data, design integration architecture with engineering, and be accountable for the timelines, risks, and vendor dependencies that come with it. You’ll stay close to the data yourself: writing SQL, resolving discrepancies, and troubleshooting production issues, while directing the teams who do much of the day-to-day work. What you will do Profile, map, and validate complex claims, eligibility, accumulator, and encounter data across multiple sources, and resolve daily eligibility and accumulator discrepancies arising from file imports and monthly reconciliations. Write and execute advanced SQL for investigation, validation, regression testing, and special data loads. Lead cross-functional root-cause investigation and remediation of production issues, and anticipate system and data failures before they happen. Partner with engineering and architects on scalable, compliant integration architecture for claims, eligibility, and accumulators. Own end-to-end

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