Professional Certificate in Pharmacy Benefit Management
-- viewing nowPharmacy Benefit Management (PBM) is a complex field requiring specialized skills. This Professional Certificate provides comprehensive training in PBM operations, including drug formularies, claims processing, and cost management strategies.
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Course details
• Pharmaceutical Reimbursement and Payment Models
• Drug Utilization Review (DUR) and Pharmacy Quality Assurance
• Formularies, Prior Authorizations, and Step Therapy
• Medicare Part D and Medicaid Pharmacy Benefits
• Health Plan Contracting and Network Management
• Data Analytics and Reporting in Pharmacy Benefit Management
• Pharmacy Benefit Management Technology and Automation
• Compliance and Regulatory Affairs in PBM
• Emerging Trends and Future of Pharmacy Benefit Management
Career path
Career Role in Pharmacy Benefit Management (PBM) | Description |
---|---|
Pharmacy Benefit Manager (PBM) Consultant | Develops and implements strategies to optimize pharmacy benefit programs, leveraging expertise in PBM operations and policy. High demand in the UK healthcare sector. |
PBM Analyst (Data-driven roles) | Analyzes large datasets related to prescription drug utilization and costs to identify trends and opportunities for cost savings. Strong analytical and data visualization skills are crucial. |
PBM Project Manager | Manages projects related to PBM implementations, upgrades, and system integrations. Experience in project management methodologies essential. |
PBM Claims Processor | Processes and verifies pharmacy claims for accuracy and compliance with regulations. Accuracy and attention to detail are paramount. |
Entry requirements
- Basic understanding of the subject matter
- Proficiency in English language
- Computer and internet access
- Basic computer skills
- Dedication to complete the course
No prior formal qualifications required. Course designed for accessibility.
Course status
This course provides practical knowledge and skills for professional development. It is:
- Not accredited by a recognized body
- Not regulated by an authorized institution
- Complementary to formal qualifications
You'll receive a certificate of completion upon successfully finishing the course.
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