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Business Analyst FFS Medicaid Claims - MADISON, WI,

Job Information

Job Order ID :
WI3637166
# of Positions :
1
Minimum Education Level :
Bachelor's Degree
Experience Required :
Training :
Bachelors Degree
Salary :
$63773 + yearly
Duration :
Shift :
Unspecified
Hours per week:
40

Job Description

 
JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was founded
as an alternative to traditional pharmacy benefit manager (PBM) models.
We are committed to removing cost from the drug supply chain to make
medications more affordable for the people who need them. At Navitus,
our team members work in an environment that celebrates diversity,
fosters creativity and encourages growth. We welcome new ideas and share
a passion for excellent service to our customers and each other. We are
unable to offer remote work to residents of Alaska, Hawaii, Maine,
Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island,
South Carolina, South Dakota, West Virginia, and Wyoming. 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 will apply demonstrable communication,
analytical, and problem-solving skills to help support development and
product lifecycle activities. Is this you? Find out more below! How do I
make an impact on my team? Develop and maintain deep knowledge of NCPDP
pharmacy POS claims processing requirements. Develop an understanding of
unique attributes within a claim transaction where contracted State
governments apply specific regulatory requirements to support their
programs. Understand the competitive landscape, regulatory lifecycle and
related government processes surrounding FFS. Facilitate and moderate
gap analysis and requirements gathering sessions for as-is and to-be
stages of product development and accountable for compliance with state
compliance. Learn and apply technical tools that support the product
development process and used to communicate the business features to the
technical design and development teams. With input from key
stakeholders, prioritize business needs of the product and incorporate
the criteria to develop the product\'s functional releases. Facilitate
productive discussions to gather and document in both text and visual
formats the expected functionality for this product and how it supports
the FFS portfolio. Moderate the development teams to ensure functional
and non-functional requirements are understood and implemented
consistent with the BA vision. Work with the team to identify, analyze,
quantify, and mitigate risks. Work with the project management office to
utilize and enhance tools that support the\... For full info follow
application link. Navitus Health Solutions is an Equal Opportunity
Employer: Disabled/Veterans/Male/Female/Minority/Other \*\*\*\*\*
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/0CC0B3434927487C

Company Information

Name :
NAVITUS HEALTH SOLUTIONS LLC

Application Information

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