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• No of position :- ( 1 )

• Post :- 12th Sep 2023

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.