Business Analyst III Pharmacy Eligibility and Reconciliation

Benefits:

• Bonus based on performance
• Company parties
• Opportunity for advancement

Business Analyst III - Pharmacy Eligibility and Reconciliation
Location: Remote
Position Type: 6+ months Contract
Shifts: Monday-Friday Standard business hours
Position Summary:
This is a fantastic opportunity for a [INSERT ROLE FROM AOVE GRID] with more than six years of experience to transition into a position on the Medicare Next Generation Platform Team. We currently have an opening within our Medicare / Medicaid / Exchange Next Generation Program team for a dynamic, self-starting, experienced analyst. The role will create new learning opportunities from both a technology perspective and a business process perspective in relation to Medicare, Medicaid and Exchange Enrollment Operations.
Duties:

• This is a fantastic opportunity for a [INSERT ROLE FROM AOVE GRID] with more than six years of experience to transition into a position on the Medicare Next Generation Platform Team. We currently have an opening within our Medicare / Medicaid / Exchange Next Generation Program team for a dynamic, self-starting, experienced analyst. The role will create new learning opportunities from both a technology perspective and a business process perspective in relation to Medicare, Medicaid and Exchange Enrollment Operations.

Experience:
Required

• Experience with PLSQL, SQL Server and / or Oracle, SQL Server databases (2-4 years)
• Experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews. (4-6 years)
• Experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis) (4-6 years)

Preferred

• Experience with [INSERT FUNCTION FROM AOVE GRID]
• Experience with software development lifecycles, having contributed to: estimation (resource planning), capacity planning, requirement gathering, testing framework and strategy, and post implementation review. (4-6 years)
• Experience with member materials / correspondence implementation experience (2-4 years)
• Experience with Medicare, Medicaid or Exchange Enrollment, Billing and Correspondence Operations (2-4 years)
• Leadership / Creating Accountability (Intermediate)
• Leadership / Developing and Executing Strategy (Intermediate)
• Leadership / Driving a Culture of Compliance (Foundational)
• General Business Consulting for Solutions (Advanced)
• Leadership / Anticipating and Innovating (Advanced)
• Technology / Justifying the Business Case (Advanced)
• Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.
• Demonstrated experience successfully implementing change in complex organizations
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.

Education:
Bachelor's degree or equivalent experience

This is a remote position.