Description


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 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.

Education

Any graduate