Senior Pharmacy BA

Senior Pharmacy BA Specialist (Only Locals)

Location: Dix Campus Raleigh North Carolina

Interview Type: Either Webcam Interview or In Person

The requirements for this position include but not limited to the following:

• Four or more years of Pharmacy Benefits Management business and system experience
• Should have extensive PBM domain knowledge
• Thorough knowledge of statutes, and rules regarding PBM module
• Should be able to evaluate business processes, anticipate requirements, uncover areas for improvement, coordinate and experienced with implementing software solutions.
• Experience working on large Federal/State programs
• Should have the ability to collaboratively work with multiple business units, vendors, teams, and stakeholders
• Should have the ability to manage multiple competing tasks
• Should have extensive experience with system development life cycle (SDLC), business requirement gathering and analysis
• Should have experience documenting requirements and other project deliverables.
• Should have experience working with SQL, querying database tables, writing complex queries, and generating reports.
• Should be able to perform user acceptance testing, documenting, and managing defects.
• Should have experience working with and designing system integrations and interfaces
• Should have knowledge in NCPDP, Drug Rebate Processing, RetroDUR, EDI, X12, HL7, HIPAA PHI, ICD-10
• Should be Proficient with Microsoft Word, Excel, Visio, PowerPoint, Project, Outlook, and OneNote

The following skills are preferred:

• Managed Care and Medicaid experience
• Project Management experience
• Experience or familiarity in interfacing with Systems Integrator Platform
• Experience with JIRA, SCRUM, and Agile methodologies
• Should be able to Prioritize projects based on business needs and requirements.
• Should manage competing resources and priorities.

Required/Desired Skills

• Experience with implementation and support of Pharmacy Benefit Module (PBM) and PBM domain knowledge - Required - 4 Years
• Experience evaluating business processes, anticipating requirements, implementing software solutions. - Required - 7 Years
• Experience working on large Federal / State programs - Required - 7 Years
• Excellent verbal and written communication skills with the ability present to both technical and business audiences. - Desired - 0
• Experience developing SQL queries. - Required - 4 Years
• Knowledge of Agile Methodology - Required - 3 Years
• Experience in working with the Business Teams to write Business and QA Documents . - Required - 7 Years
• Experience designing system integrations and interfaces. - Required - 4 Years