• US Citizen

• Green Card

• EAD (OPT/CPT/GC/H4)

• H1B Work Permit

• Corp-Corp

• Consulting/Contract

• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 30th Aug 2022

BA positions are responsible for implementing system changes for the PBMS, Business Intelligence Data Management (BIDM) and Colorado Interchange (iC) related to prescription drug benefits. They will demonstrate expertise in the technical aspects of claims processing, adjudication, eligibility and enrollment and technical change projects as they relate to the PBMS, BIDM and iC. Positions will communicate system strategies with various policy and technical staff on various solutions to develop configuration changes to the system. processes and enhancement projects. The BAs collaborate on technical design of the systems, work with contractors to develop and review requirements and technical specification documents, and reviews test cases related to system changes. The duties performed by the positions are as follows:

System Change Management: 30% 

Brief Duty Description: 

• Identifies, initiates and assures the quality installation of system functionality and change/enhancement projects for the prescription drug claims in the PBMS, BIDM and Colorado interchange; including all claims and capitation related system changes, pricing, benefit plans, reference codes, and interface file exchanges.
• Drafting configuration change management (CCM) documents and reviewing test cases on a large scale related to the PBMS reprocurement and implementation.
• Coordinates with pharmacy staff and acts as the project manager for tasks relating to designing or enhancing systems, diagnosing system issues, analyzing test results, and coordinating system procedures related to pharmacy claims processing.
• Arranges policy staff attendance at system requirement change reviews, system design reviews, test case reviews, and project status reviews when necessary.
• Serves as the liaison between the Department, PBMS staff, Fiscal Agent staff, and other contractor staff to translate new or revised processes, and coordinates with other sections in the Department to implement system changes.