Pharmacy Eligibility/Claims Business Analyst
Core
Deliver analysis and requirements for Medicare/Medicaid/Exchange Enrollment Configuration and Pharmacy eligibility/claim transactions within the NextGen platform.
Role type
Senior Business Analyst (Healthcare/Insurance)
Builds
Membership Integration and Reconciliation Stories for the NextGen platform
Domain
Healthcare, Insurance, Medicare/Medicaid
Required skills
Business Analysis, PLSQL, SQL Server, Oracle, Software Development Lifecycle, Analytical Techniques (Use-cases, User Stories, Prototyping), Process Flow Creation, Requirements Gathering
Preferred skills
Pharmacy eligibility/claim transactions, Medicare/Medicaid/Exchange Enrollment, Pharmacy Operations, Enterprise-wide initiatives, Change Management, Senior-level Relationship Management
Technologies
PLSQL, SQL Server, Oracle
Responsibilities
Develop purpose-built capabilities for the NextGen platform, deliver analysis and requirements for oversight of Membership Integration and Reconciliation Stories, support enrollment and eligibility platforms
Seniority
Senior, hands-on IC