Pharmacy Network Business Systems Analyst Jobs

Four or more years of Pharmacy Benefits Management business and system experience

Assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module.

Should be able to evaluate business processes, anticipate requirements, uncover areas for improvement, coordinate and experienced with implementing software solutions.

Should have extensive experience with system development life cycle (SDLC), business requirement gathering and analysis

Should have experience documenting requirements and other project deliverables.

Managed Care and Medicaid experience

Contract management and negotiation skills

Communicate comprehensive and efficient hospital reports to management as directed.

Directs the selling efforts and account management for existing CAPS locations in assigned territory.

Working knowledge of GPOs, IDNs, and Distributors.

Compare competitive proposals, offer consultative solutions, and develop contracts for customers.

Strong knowledge of B.Braun and CAPS’ IV products and services.

Execute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offerings

Extensive PBM industry knowledge and deep understanding of the financial levers of a PBM

Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance

Integrity: Do the right thing. Especially when it's hard.

Together: Build bridges and lift up your colleagues.

Perform other job-related duties as assigned

Position: Pharmacy Network Management Specialist

·Previous customer service experience in a managed care environment.

REQUIRED 3-5 years pharmacy network experience.

·Suspend/ remove pharmacies from the network not meeting contracted and credentialing requirements.

·Manage and monitor each client network structure with the Pharmacy Network database, SNA and claims processing system.

·Understanding of URAC and CMS network requirements.

1+ years of tax, finance or a related analytical field experience

Experience defining requirements and using data and metrics to draw business insights

Perform complex data analysis to identify opportunities to reduce fulfillment costs as well as improve efficiencies and customer experience

2+ years of complex Excel VBA macros writing experience

Experience with SQL or ETL

Experience scripting for automation (e.g., Python, Perl, Ruby)

Specialty licensure/certification may be required, as specified by the department.

Successful candidate may be subject to a criminal background check prior to starting work.

See the Position Description for additional information.

Earth Data Analysis Center (985A)

Positions posted with a Staff Type of

are eligible for the Veteran Preference Program. See the

Specialty licensure/certification may be required, as specified by the department.

Successful candidate may be subject to a criminal background check prior to starting work.

See the Position Description for additional information.

Applications need to include a complete work history with dates and hours worked.

Positions posted with a Staff Type of

are eligible for the Veteran Preference Program. See the

Project management, Six Sigma Change Acceleration Process (CAP), LEAN, and Work Out experience.

1 year of managed care pharmacy experience.

Project management, Six Sigma Change Acceleration Process (CAP), LEAN, and Work Out training.

perm hiring manage Kathleen Joffer.

PHARMACY NETWORK BUSINESS SYSTEMS ANALYST_REMOTE_Full-Time(FTE)

This position is remote, and we are seeking candidates in the Southwest WA, and/or OR.