Senior Pharmacy Business Analyst Specialist

10 hours ago


Raleigh, North Carolina, United States Crescens Full time
Job Title:

Senior Pharmacy Business Analyst Specialist

Job Description:

The Crescens team is seeking a seasoned Senior Pharmacy Business Analyst Specialist to join our team. As a key member of our team, you will play a critical role in implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.

The ideal candidate will have extensive experience in Pharmacy Benefits Management business and system analysis, with a strong understanding of statutes and rules regarding PBM modules. You will work closely with the Product owner, business users, vendors, and multiple stakeholders to analyze and gather detailed business requirements, document processes, and implement software solutions.

Key responsibilities include:

  • Evaluating business processes and anticipating requirements
  • Implementing software solutions and managing competing tasks
  • Collaborating with multiple business units, vendors, teams, and stakeholders
  • Managing system development life cycle (SDLC), business requirement gathering and analysis, and documenting requirements
  • Working with SQL, querying database tables, writing complex queries, and generating reports
  • Performing user acceptance testing, documenting, and managing defects
  • Designing system integrations and interfaces

The successful candidate will have:

  • Four or more years of Pharmacy Benefits Management business and system experience
  • Extensive PBM domain knowledge and thorough knowledge of statutes and rules regarding PBM modules
  • Experience working on large Federal/State programs
  • Excellent verbal and written communication skills with the ability to present to both technical and business audiences
  • Experience developing SQL queries and knowledge of Agile Methodology
  • Experience in working with the Business Teams to write Business and QA Documents

We offer a dynamic work environment, competitive compensation, and opportunities for growth and development. If you are a motivated and experienced Senior Pharmacy Business Analyst Specialist looking for a new challenge, please submit your application.



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