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Senior Pharmacy Business Analyst : Raleigh, NC (Onsite) : 12 Months Contract at Raleigh, North Carolina, USA
Email: [email protected]
From:

Jitendra Upreity,

Technocraft Solutions

[email protected]

Reply to:   [email protected]

Job Title: Senior Pharmacy Business Analyst

Location: Raleigh, NC (Onsite)

Duration: 12 Months Contract

Note: *** All work will be completed on site at the client's discretion. Do you accept this requirement

Responsibilities and Skills:

Job ID: 710408

Location: Raleigh, NC (NCDHHS-AM)

Duration: 12 Months

Skills:

Experience with implementation and support of Pharmacy Benefit Module (PBM) and PBM domain knowledge Required 4 Years

Experience evaluating business processes, anticipating requirements, implementing software solutions. Required 7 Years

Experience working on large Federal / State programs Required 7 Years

Excellent verbal and written communication skills with the ability present to both technical and business audiences. Desired

Experience developing SQL queries. Required 4 Years

Knowledge of Agile Methodology Required 3 Years

Experience in working with the Business Teams to write Business and QA Documents . Required 7 Years

Experience designing system integrations and interfaces. Required 4 Years

Description:

NC Department of Health and Human Services (DHHS) 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

Thorough knowledge of statutes, and rules regarding PBM module

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

Should have the ability to collaboratively work with multiple business units, vendors, teams, and stakeholders

Should have the ability to manage multiple competing tasks

Should have extensive experience with system development life cycle (SDLC), business requirement gathering and analysis

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

Should be Proficient with Microsoft Word, Excel, Visio, PowerPoint, Project, Outlook, and OneNote

The following skills are preferred:

Managed Care and Medicaid experience

Project Management experience

Experience or familiarity in interfacing with Systems Integrator Platform

Experience with JIRA, SCRUM, and Agile methodologies

Should be able to Prioritize projects based on business needs and requirements.

Should manage competing resources and priorities.

Keywords: quality analyst access management Idaho North Carolina
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Wed Sep 06 18:56:00 UTC 2023

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Location: Raleigh, North Carolina