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Sr.Business Analyst
Ref No.: 18-03138
Location: Wallingford, CT or Norfolk, Connecticut
Start Date: 08/23/2018
 Job Title  : Sr.Business Analyst
Duration : Contract
Location  : Wallingford, CT or Norfolk VA
 
Job Description:
 
  • More than 9+ yrs working experience with Pharmacy Benefit Manager (PBM) / Pharmacy spectrum as Business Analyst
  • More than 5 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