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Business Analyst
Wallingford, CT
Wallingford
CT
06492
Date
: Oct-04-18
2018-10-04
2019-10-04
Business Analyst
Wallingford, CT
Oct-04-18
Work Authorization
US Citizen
GC
H1B
EAD (OPT/CPT/GC/H4)
Preferred Employment
Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire
Job Details
Experience
:
Architect, Senior
Rate/Salary ($)
:
Market
Duration
:
Long term
Sp. Area
:
Business Process, RPA, BPM
Sp. Skills
:
Business Analyst
Consulting / Contract
CONTRACTOR
Required Skills
:
More than 4 yrs working experience with Pharmacy Benefit Manager (PBM) / Pharmacy spectrum as Business Analyst , More than 8 years total healthcare ex
Preferred Skills
:
Domain
:
HealthCare, Pharmaceuticals
Work Authorization
US Citizen
GC
EAD (OPT/CPT/GC/H4)
H1B
Preferred Employment
Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire
Job Details
Experience
:
Architect, Senior
Rate/Salary ($)
:
Market
Duration
:
Long term
Sp. Area
:
Business Process, RPA, BPM
Sp. Skills
:
Business Analyst
Consulting / Contract
CONTRACTOR
Required Skills
:
More than 4 yrs working experience with Pharmacy Benefit Manager (PBM) / Pharmacy spectrum as Business Analyst , More than 8 years total healthcare ex
Preferred Skills
:
Domain
:
HealthCare, Pharmaceuticals
Emergere Technologies
Frisco, TX
Post Resume to
View Contact Details &
Apply for Job
Job Description
:
Job Description:
· More than 4 yrs working experience with Pharmacy Benefit Manager (PBM) / Pharmacy spectrum as Business Analyst
· More than 8 years total healthcare experience
· Working experience with any of the below PBM
· Demonstrated Working experience in Payer-PBM interfaces (few key entities from Pharmacy/PBM spectrum)
· Member Eligibility
· Product/Benefit
· Claim Processing
· Prior Authorization
· Formulary
· Consumer/Member portals & Mobility applications
· Medicare/Medicaid, PDE, Encounter
· Coordination of Benefits
· NCPDP layout and EDI Rx transactions
· Specialty Pharmacy
· Mail order Pharmacy
· Excellent knowledge in Elicitation of Business requirements by collaborating with Business sponsors
· Efficient in translating Business Requirements into Functional and Non-Functional Requirements
· Strong communication skillset who can be engaged with business stakeholders as Pharmacy domain SME
· Experienced in User Acceptance Testing (UAT)
· Strong exposure to Agile and Waterfall - Model and tools (eg: JIRA, Confluence etc)
Good to have
· Working experience with PBM migration with any of the leading Payers
· Certified in Agile practices - SAFe® Practitioner, Scrum Master etc
· Certifications in Business Analysis
· PMP
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