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Pharmacy Benefits Reinvented- As the industry’s alternative pharmacy benefit manager (PBM), we’re committed to making prescriptions more affordable for you and your members. Here at Navitus, our team members work in an environment that celebrates creativity, fosters diversity and encourages growth. We welcome new ideas and share a passion for excellence.
The Business Analyst (BA), Fee for Service (FFS) Medicaid Claims Processing will provide Business Analysis support for the development, implementation, and maintenance of our Navitus NCRx platform when applied to FFS regulatory accounts. The FFS implementations require full compliance to NCPDP standards as they emerge including the current D.0 standard for pharmacy claims and the subsequent NCPDP F6 standard. Further, the Business Analyst will be responsible for informing the FFS leadership of the functional evolution of the market needs in support of improving product releases.
The BA reports to the Portfolio Manager. The BA is part of related agile teams that are developing the next generation in pharmacy claims processing. The analyst is expected to provide creativity in addressing the unique needs of the product’s constituents and applying state-of-the-art information system concepts and solutions. The BA is expected to work with Navitus internal and external resources to determine projected business needs and translate those needs into the module architecture. The BA will also support procurement activities, ensuring claims responses align with capabilities. Developing solutions further require the BA to approve detailed requirements, work breakdown structures, and other deliverables that support the development and implementation of a best in class tool.
The BA will apply demonstrable communication, analytical, and problem-solving skills to help support development and product lifecycle activities.
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Full Time
$87k-105k (estimate)
05/27/2023
06/14/2024