Senior Pharmacy Business Analyst Specialist

2 days ago


Raleigh, North Carolina, United States Crescens Full time
Job Title: Senior Pharmacy Business Analyst Specialist

Job Description:

The Crescens team is seeking a skilled Senior Pharmacy Business Analyst Specialist to assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.

The PBM Business Analyst will work closely with the Product owner, business users, vendors, and stakeholders to analyze and gather detailed business requirements, document processes, and implement the PBM module.

The ideal candidate will have extensive PBM domain knowledge, experience with system development life cycle (SDLC), business requirement gathering and analysis, and experience documenting requirements and other project deliverables.

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 integrations and interfaces
  • Developing SQL queries and generating reports

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 module
  • Experience working on large Federal/State programs and managing multiple competing tasks
  • Excellent verbal and written communication skills with the ability to present to both technical and business audiences
  • Knowledge of Agile Methodology and experience designing system integrations and interfaces

We offer a dynamic and collaborative work environment, and the opportunity to work on a high-profile project with a talented team of professionals.

Required Skills:
Experience with implementation and support of Pharmacy Benefit Module (PBM) and PBM domain knowledge.
Experience evaluating business processes, anticipating requirements, implementing software solutions.
Experience working on large Federal / State programs
Excellent verbal and written communication skills with the ability present to both technical and business audiences
Experience developing SQL queries.
Knowledge of Agile Methodology
Experience in working with the Business Teams to write Business and QA Documents .
Experience designing system integrations and interfaces.



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