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IT Senior Pharmacy BA Specialist Loc : Raleigh, North Carolina-Hybrid at North, Virginia, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=601078&uid=

From:

bhumika,

Adifice Technologies

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Reply to:   [email protected]

Title : IT Senior Pharmacy BA Specialist

Location : Raleigh, North Carolina-Hybrid

Client : NORTH CAROLINA DEPT OF HEALTH AND HUMAN SERVICES

Duration : 6+months

Rate : $55/hr C2C

MOI : Skype

Visa : No H1B

Looking for local candidates with experience in Pharmacy Benefits Management module & healthcare domain.

Candidates with prior state exp. STRONGLY preferred.

Please only share local candidates from Raleigh, North Carolina.

Please submit the complete permanent address, address proof, copy of DL and the skills matrix with the submittal.

Short Description

NC Department of Health and Human Services (DHHS) is seeking a Senior PBM BA Specialist to lead Business and Technical Analysis related to assist with the MES PBM module implementation.

Complete Description

NC Department of Health and Human Services (DHHS) is seeking a senior Business Analyst with Technical expertise to assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module. The PBM Business Analyst works with the Product owner, business users, vendors, multiple stakeholders, and executives to analyze and gather detailed business requirements, document processes in relation to implementing the PBM module. The PBM Business Analyst balances strategies between Business functionality and technical requirements.

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.

Keywords: business analyst information technology North Carolina
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=601078&uid=
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08:15 PM 05-Sep-23


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