Hello Business Partners,

Hope you are doing great!

Please share *updated resume* and *Consultant Full Name* or *LinkedIn URL*

Position: Sr. Business Analyst with PBM Experience
Location: Richmond, Norfolk, VA, or Mason, OH or Wallingford, CT
Duration: 12 Months

*Job description:*

   - More than 4 years working experience with Pharmacy Benefit Manager
   (PBM) / Pharmacy spectrum as Business Analyst
   - More than 8 years total healthcare experience
   - Working experience with any of the below PBM
   - Demonstrated Working experience in Payer-PBM interfaces (few key
   entities from Pharmacy/PBM spectrum)

   1. Member Eligibility
   2. Product/Benefit
   3. Claim Processing
   4. Prior Authorization
   5. Formulary
   6. Consumer/Member portals & Mobility applications
   7. Medicare/Medicaid, PDE, Encounter
   8. Coordination of Benefits
   9. NCPDP layout and EDI Rx transactions
   10. Specialty Pharmacy
   11. Mail order Pharmacy

   - Excellent knowledge in Elicitation of Business requirements by
   collaborating with Business sponsors
   - Efficient in translating Business Requirements into Functional and
   Non-Functional Requirements
   - Strong communication skillset who can be engaged with business
   stakeholders as Pharmacy domain SME
   - Experienced in User Acceptance Testing (UAT)
   - Strong exposure to Agile and Waterfall -  Model and tools (eg: JIRA,
   Confluence etc)

*Good to have:*

   - Working experience with PBM migration with any of the leading Payers
   - Certified in Agile practices - SAFeĀ® Practitioner, Scrum Master etc
   - Certifications in Business Analysis
   - PMP

Mahesh Kumar
Resourcing Specialist
Desk No: 201-528-5307  Ext: 422

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