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Job Requirements of Senior Pharmacy BA Specialist:
-
Employment Type:
Full-Time
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Location:
Raleigh, NC (Onsite)
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Senior Pharmacy BA Specialist
Location: Raleigh, NC [Hybrid]
Duration: 11+ months
Type: contract
Job Description :
- The Client is seeking a senior Business Analyst with Technical expertise to assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.
- The PBM Business Analyst works with the Product owner, business users, vendors, multiple stakeholders, and executives to analyze and gather detailed business requirements, document processes in relation to implementing the PBM module
The PBM Business Analyst balances strategies between Business functionality and technical requirements. - The requirements for this position include but not limited to the following: Four or more years of Pharmacy Benefits Management business and system experience
- Should have extensive PBM domain knowledge and Thorough knowledge of statutes, and rules regarding PBM module and Should be able to evaluate business processes, anticipate requirements, uncover areas for improvement, coordinate and experienced with implementing software solutions.
- Experience working on large Federal/State programs and Should have the ability to collaboratively work with multiple business units, vendors, teams, and stakeholders
- Should have the ability to manage multiple competing tasks and Should have extensive experience with system development life cycle (SDLC), business requirement gathering and analysis and Should have experience documenting requirements and other project deliverables.
- Should have experience working with SQL, querying database tables, writing complex queries, and generating reports.
- Should be able to perform user acceptance testing, documenting, and managing defects.
- Should have experience working with and designing system integrations and interfaces
- Should have knowledge in NCPDP, Drug Rebate Processing, RetroDUR, EDI, X12, HL7, HIPAA PHI, ICD-10 and Should be Proficient with Microsoft Word, Excel, Visio, PowerPoint, Project, Outlook, and OneNote
- The following skills are preferred: Managed Care and Medicaid experience and Project Management experience
- Experience or familiarity in interfacing with Systems Integrator Platform and Experience with JIRA, SCRUM, and Agile methodologies and Should be able to Prioritize projects based on business needs and requirements.
- Should manage competing resources and priorities.
- Experience with implementation and support of Pharmacy Benefit Module (PBM) and PBM domain knowledge.
- Experience evaluating business processes, anticipating requirements, implementing software solutions.
- Experience working on large Federal / State programs
- Excellent verbal and written communication skills with the ability present to both technical and business audiences
- Experience developing SQL queries.
- Knowledge of Agile Methodology
- Experience in working with the Business Teams to write Business and QA Documents .
- Experience designing system integrations and interfaces.
Recommended Skills
- Asc X12 Standards
- Acceptance Testing
- Agile Methodology
- Business Processes
- Business Requirements
- Communication
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Job ID: k5oed7s
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