Job Description :
Role: PBM Claims SME
Location: Wallingford, CT/ Virginia Beach, VA/ Mason, OH/ St Louis, MO/ Atlanta, GA
Duration: Long Term

More than 5 yrs. working experience with Pharmacy Benefits Manager (PBM) / Pharmacy spectrum as Business Analyst with core Business team (not looking for IT business/system analysts)
More than 8 years of total healthcare experience Demonstrated
Working experience in Payer-PBM interfaces (few key entities from Pharmacy/PBM spectrum)
Claim Processing
Member Eligibility
Experience being part of PBM Ops team is added advantage
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
The ability to travel to attend off-site meetings with key business stakeholders