Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Sr. Business Analyst - Pbm( Pharmacy Benefit Management )

Expired Job

Swinsoft Stamford , CT 06901

Posted 2 months ago

This is 100% onsite .

(1) More than 4 yrs working experience with Pharmacy Benefit Manager (PBM) / Pharmacy spectrum as Business Analyst * with core Business team (not looking for IT
business/system analysts)

(2) More than 8 years total healthcare experience

(3) Working experience:

a. NextRx/ProServ/ProPBM
b. (ESI)/Medco
c. Any other PBMs

(4) Demonstrated Working experience in Payer-PBM interfaces (few key entities from Pharmacy/PBM spectrum)

a. Member Eligibility
b. Product/Benefit
c. Claim Processing
d. Prior Authorization
e. Formulary
f. Consumer/Member portals & Mobility applications
g. Medicare/Medicaid, PDE, Encounter
h. Coordination of Benefits
i. NCPDP layout and EDI Rx transactions
j. Specialty Pharmacy
k. Mail order Pharmacy
(5) Excellent knowledge in Elicitation of Business requirements by collaborating with Business sponsors
(6) Efficient in translating Business Requirements into Functional and Non-Functional Requirements
(7) Strong communication skillset who can be engaged with business stakeholders as Pharmacy domain SME
(8) Experienced in User Acceptance Testing (UAT)
(9) Strong exposure to Agile and Waterfall

  • Model and tools (eg: JIRA, Confluence etc)

Good to have
(10) Working experience with PBM migration with any of the leading Payers
(11) Certified in Agile practices

  • SAFe* Practitioner, Scrum Master etc
    (12) Certifications in Business Analysis
    (13) PMP

Pharmacy Benefit Manager (PBM), Business Analysis
6 months

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sr Business Intelligence Analyst


Posted 4 days ago

VIEW JOBS 11/17/2018 12:00:00 AM 2019-02-15T00:00 JOB SUMMARY This position is responsible for supporting and managing a program of business unit-focused initiatives designed to help business partners drive value from information. Contributes to Charter's success by ensuring business needs and goals are realized through analysis and reporting activities of the Business Intelligence Group. Responsible for supporting the Manager or Director of Business Intelligence to empower Charter business leaders with concise, high-quality information, helping them leverage it to identify and address business opportunities and threats. Provides consultation on the interpretation of data to various business partners throughout the organization. MAJOR DUTIES AND RESPONSIBILITIES * Actively and consistently support all efforts to simplify and enhance the customer experience * Provide advice and education in the usage and interpretation of business data relevant to the business unit * Communicate data nuances and insights to all levels of the company in a clear and concise manner * Instill best practices and assists users at all levels within the company on how to leverage BI capabilities for accurate reporting and analysis * Leverage knowledge of Business Intelligence capabilities and familiarity with business trends in identifying patterns, opportunities and threats * Work closely with business partners in gathering detailed business requirements, establishing business definitions, translating to technical requirements for development team and gaining approval * Interact with senior management or executive level customers and provides support as needed * Create report mock ups based on requirements and coordinates with technical team in finalizing design and receiving sign off * Support all scheduled and non-recurring information needs of the business users * Understand data elements in the warehouse at a very detailed grain to support any form of user needs from research to adhoc querying to managing large information projects * Query large datasets and tables comfortably to provide information requested by business users * Present data in a fashion that is easy to understand with proper documentation for successful user adoption * Manage detailed plans on small to medium sized projects to ensure successful completion * Maintain metadata dictionaries and report definitions * Work with cross functional teams to ensure alignment in business needs, timelines and department standards * Create test plans and scenarios and conducts testing to ensure quality and requirements traceability to final deliverable * Actively identify solutions to enhance the existing Business Intelligence infrastructure processes and technology * Understand and evaluates cross functional and system to system impacts of requirements and change requests * Uses advanced Excel skills to capture and communicate data findings * Liaison among the business, development and support teams to ensure solutions being developed meet or exceed business needs * Perform other duties as requested REQUIRED QUALIFICATIONS Skills/Abilities and Knowledge * Ability to read, write, speak and understand English * Exceptionally strong communication skills both written and verbal * Proven experience and passion for leveraging data to drive business impact * Intermediate to advanced statistical knowledge and intuition ideally utilized in A/B or multivariate testing (or related analytics) * Advanced SQL skills * Experience with reporting/Business Intelligence tools is preferred (MicroStrategy, Terradata is a plus) * Ability to speak to large groups with excellent presentation skills * Ability to perform critical thinking in the area of data analysis with advanced analytical skills * Strong team and relationship building skills * High attention to detail and quality * Ability to work independently with minimal guidance, prioritize and organize effectively and manage multiple projects/assignments * Ability to perform in a fast-paced environment * Project management skills * Ability to understand complex business processes, rules and gain business acumen to become subject matter expert * Experience with data visualization standards and techniques to visually summarize data and insights is a plus * Expertise with BI Data Modeling concepts such as Star/Snowflake Schema, Dimensions and Facts EDUCATION Bachelor's degree or foreign equivalent in Economics, Mathematics, or Business Administration, or relevant work experience RELATED WORK EXPERIENCE 5+ years relevant technical or business work experience Experience with Cable TV, Internet, and/or Phone products & services or other related industry experience WORKING CONDITIONS Office environment The Spectrum brands (including Spectrum Networks, Spectrum Enterprise and Spectrum Reach) are powered and innovated by Charter Communications. Charter Communications reaffirms its commitment to providing equal opportunities for employment and advancement to qualified employees and applicants. Individuals will be considered for positions for which they meet the minimum qualifications and are able to perform without regard to race, color, gender, age, religion, disability, national origin, veteran status, sexual orientation, gender identity, or any other basis protected by federal, state or local laws. Business Unit: Corporate Spectrum Stamford CT

Sr. Business Analyst - Pbm( Pharmacy Benefit Management )

Expired Job