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Implementing Application PBS NLS System Integration Specialist
(Jobs in Raleigh
 
Requirement id 142361
Job title Specialist
Job location in Raleigh, NC
Skills required Agile Methodologies, SQL Queries, Business Process, Implementing Application PBS NLS System
Open Date 20-Jul-2023
Close Date
Job type Contract
Duration 11 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Specialist: Agile Methodologies, SQL Queries, Business Process, Implementing Application PBS NLS System

Hybrid

Start date :06/01/2023

End Date :05/30/2024

Submission deadline :07/27/2023

Client Info :NCDHHS-AM

Description :
------------------------------------------------------
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.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 142361 while calling.
 
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