PBM Claims SME at Wallingford, CT/ Virginia Beach, VA/ Mason, OH/ St Louis, MO/ Atlanta, GA

Atlanta, GA Atlanta GA 31156

Date : May-21-19

PBM Claims SME at Wallingford, CT/ Virginia Beach, VA/ Mason, OH/ St Louis, MO/ Atlanta, GA

Atlanta, GA

May-21-19

Work Authorization

US Citizen
GC
H1B
H4 EAD, TN EAD

Preferred Employment

Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire

Job Details

Experience

:

Architect

Rate/Salary ($)

:

Market

Duration

:

Long Term

Sp. Area

:

Business Process, RPA, BPM

Sp. Skills

:

Business Analyst

Consulting / Contract

Third Party OK

Required Skills :

Business Analyst, PBM

Preferred Skills :

Domain :

HealthCare

Work Authorization

US Citizen
GC
H4 EAD, TN EAD
H1B

Preferred Employment

Corp-Corp
W2-Permanent
W2-Contract
1099-Contract
Contract to Hire

Job Details

Experience

:

Architect

Rate/Salary ($)

:

Market

Duration

:

Long Term

Sp. Area

:

Business Process, RPA, BPM

Sp. Skills

:

Business Analyst

Consulting / Contract

Third Party OK

Required Skills :

Business Analyst, PBM

Preferred Skills :

Domain : HealthCare

Apply Now

spar information systems LLC
Piscataway, NJ
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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

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