- Must have Pharmacy Benefit Management (PBM) experience
- Identify implementation stakeholders. Act as a liaison between business stakeholders and technical teams, facilitating effective communication and managing expectations.
- Elicit and capture requirements. Use requirements to create Company deliverables for the client, provide feedback and clarify requirements as needed to support the build phase, validate client requirements against the Company requirements library, perform requirement gap analysis, assist with final requirements walkthroughs, and secure business approval.
- Ensure documentation is up to date and accessible to all stakeholders. Facilitate requirement walkthroughs and secure business approval.
- Evaluate business processes to uncover opportunities and propose process improvement and optimization solutions.
- Create process models or other value-add documents, as needed.
- Facilitate discovery and creation of use cases, user stories, and test cases.
- Perform impact analysis.
- Advise on testing strategies, timelines, areas of common focus, and client challenges.
- Assist with building test plans, scenarios, and cases based on client requirements.
- Review and provide feedback on all end-to-end test plans.
- Offer insight on gaps in testing, performing test case gap analysis against the Company test library.
- Review and interpret test results for accuracy, ensuring that benefit designs are adjudicating as expected, advise on best practice defect resolution processes, and confirm that defect resolution is complete.
- Company Benefit Validation - assist with the process, including gathering data and reporting results; maintain a defect tracker; facilitate meetings to review defects, etc.
- Collaborate with project managers to create meeting agendas, define scope, timelines, and milestones. Identify risks and issues and communicate proactively with the project team.
- Advise on operational readiness, develop entry and exit readiness criteria, assess implementation readiness and risk, and consult on stopgap and workaround solutions.
- Provide command center support as needed.
- Assist with meetings, agendas, minutes, parking lot/action items, and the change control process.
- Review and collaborate with client/vendor on tasks included in project plans.
- Document and share all business analysis notes throughout the project.
- Review and document lessons learned throughout the phases of the project.
- Prepare and perform research on the subject matter that is being presented. Consistently share best practices and lessons learned in forums with the client. Assist with the refinement of the Company requirements library and other project documentation.
- Provide peer mentoring support (as needed) to new team members (FTEs and contractors).
- Stay updated with industry trends, regulatory changes, and emerging technologies that may impact health plan or PBM operations.
- Demonstrate consultant behaviors in all interactions, including interrogation, empathetic and communicative abilities, listening skills, and creditability.
- Perform other duties as assigned.
- Excellent communication and interpersonal skills
- Ability to establish and maintain effective working relationships with coworkers, managers, clients, vendors, and other stakeholders
- Good problem-solving skills
- Demonstrate ability to deliver results to the appropriate quality and timeline metrics
- Strong influencing and negotiation skills
- Excellent customer service skills
- Sound judgment and decision-making skills
- Active listening skills
- Advanced subject matter expertise in domains assigned to build credibility
- Strong software and computer skills, including MS Office applications
- 2+ years of business analysis experience related to pharmacy within a healthcare setting, with health plan and pharmacy benefit management experience strongly preferred
- Benefit designs and formularies
- File exchanges (eligibility, accumulators, claims)
- Pharmacy networks
- Configuration and testing of pharmacy benefits
- IIBA CCBA or CBAP certification highly desirable
- Requirements tool knowledge, such as Jira or Azure DevOps. Previous use of Modern Requirements for Azure DevOps a plus
- Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years.
- The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.
• Access to an experienced, caring recruiting team (more than 7 years of experience, on average.) - Behavioral Health Platform
- Medical, Dental, Vision
- Health Savings Account
- Voluntary Hospital Indemnity (Critical Illness & Accident)
- Voluntary Term Life Insurance
- 401K
- Sick Pay (for applicable states/municipalities)
- Commuter Benefits (Dallas, NYC, SF)
- Remote opportunities available
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Implementation Specialist - Plano, United States - Genesis10
Description
Genesis10 is seeking an Implementation Specialist for our client in the Pharmacy Benefits Management (PBM) Industry. This is a Contract position which can be worked REMOTELY.Position Details: Use your business analysis skills to support clients through PBM implementations. Ensure that client deliverables are produced with high quality and meet the overall project timeline. Perform in a consultative manner, sharing best practices and helping clients resolve implementation issues.
Responsibilities:
Day to Day Responsibilities:
Primary Location: REMOTE
Must have Skills:
Only candidates available and ready to work directly as Genesis10 employees will be considered for this position.
If you have the described qualifications and are interested in this exciting opportunity, please apply
Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year-in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.
Benefits of Working with Genesis10:
Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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