Note: The job is a remote job and is open to candidates in USA. Diverse Lynx is seeking a Business Systems Analyst to support pharmacy benefit management and claims processing initiatives. The role focuses on drug coverage configuration, requirements analysis, stakeholder collaboration, workflow documentation, data analysis, and product feature support.
Responsibilities
- PBM Domain Expertise & Claims Processing
- FDB Drug Nomenclature, Formulary & Preferred Drug List Design
- Drug Coverage Configuration: Inclusions, Exclusions & Prior Authorization Criteria
- NCPDP D.0 Standards & ProDUR Business Rules
- Business Requirements Elicitation, Analysis & Translation
- Stakeholder Collaboration with Business, Clinical, Development & Testing Teams
- Process Workflows, Use Cases, Wireframes & Visio Documentation
- Microsoft Excel Data Analysis & Requirement Simplification
- Product Feature Documentation, Roadmap Support & PowerPoint Presentation
- Clinical / Pharmacist Background
Skills
- PBM Domain Expertise & Claims Processing
- FDB Drug Nomenclature, Formulary & Preferred Drug List Design
- Drug Coverage Configuration: Inclusions, Exclusions & Prior Authorization Criteria
- NCPDP D.0 Standards & ProDUR Business Rules
- Business Requirements Elicitation, Analysis & Translation
- Stakeholder Collaboration with Business, Clinical, Development & Testing Teams
- Process Workflows, Use Cases, Wireframes & Visio Documentation
- Microsoft Excel Data Analysis & Requirement Simplification
- Product Feature Documentation, Roadmap Support & PowerPoint Presentation
- Clinical / Pharmacist Background
Benefits
- Remote work arrangement
Company Overview