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- Florham Park, New Jersey, United States
- Florham Park, New Jersey, United States
À propos
Pay Range: $50hr - $55hr Provide subject matter expertise in Pharmacy Benefit Management processes while leading requirements gathering, analysis, and documentation efforts. Collaborate with business, clinical, and technical teams to translate complex requirements into actionable solutions that support system development and configuration. Strong experience in Pharmacy Benefit Management domain, including claims processing. Deep understanding of claims adjudication and related data processes. Expertise in industry standards and drug data management. Strong knowledge of Software Development Life Cycle and requirements management. Ability to document business processes and requirements using various tools. Provide subject matter expertise to development, testing, and business teams. Gather, analyze, and document business requirements. Translate requirements into technical specifications and user stories. Create design documents such as wireframes, workflows, and decision tables. Configure drug plan benefits including coverage, pricing, and authorization rules. Collaborate with stakeholders to understand business and clinical requirements. Develop process workflows, use cases, and documentation. Analyze data and support requirements validation activities. Prepare product documentation and roadmap materials. Pharmacy Benefit Management domain expertise. Requirements gathering and documentation. Process modeling and workflow creation. Data analysis and SQL knowledge. Microsoft tools including Excel, Word, PowerPoint, and Visio. Strong analytical and problem-solving skills. Communication and stakeholder management skills. Bachelor’s degree preferred or equivalent industry experience. 10+ years of experience in business analysis within PBM domain preferred. Experience with claims processing and drug data systems. Experience with requirements management tools and methodologies. Clinical background with business analysis experience preferred.
Compétences linguistiques
- English
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