Description

DHHS- IT Senior Pharmacy BA Specialist

[Raleigh, NC, 27612] |   2023-09-05 08:58:12

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Job Code : NC-40

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JOb: IT Senior Pharmacy BA Specialist

Location : Dix Campus Raleigh North Carolina (Onsite)

Duration: Long term

 

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.

 

 

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

 

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.

Education

Any Graduate