Infosys is seeking a Business PBM Analyst This position will be involved in business process consulting; define the problem, propose and create the solution; also play an important role in the development, configuration and deployment of the overall solution; and will work with teams on project processes, deliverables and contribute to the proposal development, client training and internal capability building and help detail the project scope.
Required Qualifications:
• Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
• At least 2 years of experience with Information Technology.
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• Candidate is expected to be in and around Hartford, CT or willing to relocate to this location.
• All applicants authorized to work in the United States are encouraged to apply.
Preferred Qualifications:
• Experience working as a Business Analyst in healthcare domain (Health Plan, Member Enrollment, Benefit/ Plan Configuration, Provider Setup, Contract Setup, Billing and Payments, E2E Claim Processing, EDI Transactions, Medicare, Medicaid, Commercial Health Plans, COB, Accumulators)
• Experience on key PBM functions like Benefit Setup, Formulary Management, Specialty Pharmacy Process, Mail Order Drug, claims adjudication, Clinical programs like DUR, Precent, Rebates etc.
• Proficient in understanding/ analyzing/ writing SQL queries
• Knowledge of industry tools for requirement gathering, business processing modelling, defect/ CR/ Document Control
• Analytical and Communication skills
• Planning and Co-ordination skills
• Experience with project management
• Experience and desire to work in a management consulting environment that requires regular travel
The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. Travel may be required as per the job requirements.