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Business Analyst Pharmacy Systems RemoteMMC Group • United States
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Business Analyst Pharmacy Systems Remote

MMC Group
  • US
    United States
  • US
    United States
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Über

Business Analyst - Pharmacy Systems (Remote, North Dakota)
Location:
Remote within North Dakota Pay Rate:
$50.00 per hour Schedule:
Monday - Friday, 8:00 AM - 5:00 PM CT (start times may vary between 8:00 AM and 8:30 AM) Employment Type:
Contract
Position Overview
We are seeking an experienced Business Analyst with healthcare technology experience to support pharmacy and claims processing initiatives. This role serves as the critical link between business stakeholders and technical teams, ensuring requirements are accurately gathered, documented, and translated into effective system solutions.
The ideal candidate will have experience working with pharmacy claims systems, PBM environments, Medicaid programs, and NCPDP transaction standards. This position offers the opportunity to collaborate with cross-functional teams while supporting business-critical healthcare technology initiatives.
Key Responsibilities
Business Analysis & Requirements Management Gather, analyze, and document business, functional, and system requirements. Translate business needs into detailed functional specifications, workflows, process maps, and user stories. Collaborate with business stakeholders, technical teams, and external partners to ensure alignment throughout project lifecycles. Facilitate requirements sessions, stakeholder interviews, and solution discussions. Pharmacy & Claims Systems Support
Analyze pharmacy claims processing workflows and adjudication processes. Support initiatives involving NCPDP transaction standards and related healthcare data exchanges. Evaluate eligibility, prior authorization, drug data, and claims processing requirements. Assist with issue analysis, troubleshooting, and resolution efforts related to pharmacy systems. Process Improvement & System Design
Identify operational inefficiencies and recommend process improvements. Work closely with development and QA teams to support system enhancements and integrations. Create and maintain process documentation, workflows, business rules, and system documentation. Support solution design discussions and impact assessments. Testing & Validation
Assist with test planning, test case development, and User Acceptance Testing (UAT). Validate system functionality against documented requirements. Support defect tracking, resolution, and post-implementation validation activities. Project & Stakeholder Collaboration
Facilitate project meetings and requirements reviews. Support SDLC activities from requirements gathering through implementation. Coordinate with cross-functional teams to ensure project deliverables are completed on schedule. Required Qualifications
Bachelor's degree in Information Technology, Business, Healthcare Administration, or a related field. 3 to 8+ years of Business Analyst experience. Experience supporting healthcare, pharmacy, PBM, or claims processing systems. Strong requirements gathering, documentation, and stakeholder management skills. Experience working within structured project and SDLC environments. Technical Qualifications
Knowledge of NCPDP standards and pharmacy claims processing. Experience with SQL for data analysis and validation. Advanced Microsoft Excel skills. Experience with process modeling, workflow documentation, and business analysis tools. Preferred Qualifications
Medicaid pharmacy program experience. Familiarity with MMIS transactions and healthcare data exchanges. Experience supporting PBM platforms or pharmacy benefit programs. Professional certifications such as CBAP, CCBA, or similar Business Analysis credentials. Ideal Candidate Profile
Strong analytical and problem-solving abilities. Excellent communication and stakeholder management skills. Ability to bridge technical and business teams effectively. Experience working in complex healthcare or government program environments. Self-motivated and capable of managing multiple priorities in a remote work environment. Why Apply?
This is an excellent opportunity to contribute to high-impact healthcare technology initiatives while working remotely. You will play a key role in improving pharmacy and claims systems that support critical healthcare services and program operations.
Qualified candidates with PBM, Medicaid pharmacy, NCPDP, and healthcare claims experience are encouraged to apply.
Job Requirements
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at
www.mmcgrp.com
Benefits with MMC Group MMC offers health insurance plans for our active candidates on assignment, including:
Medical, dental, and vision coverage Life and disability insurance Additional voluntary benefits
Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
  • United States

Sprachkenntnisse

  • English
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