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Business PBM Analyst

Infosys

Infosys

IT
Hartford, CT, USA · United States
Posted on Dec 17, 2024

Job details

Country

USA


State / Region / Province

Connecticut


Work Location

Hartford, CT


Domain

Consulting


Interest Group

Infosys Limited


Skills

Technology|Healthcare|PBM Order management and Claims processing


Company

ITL USA


Requisition ID

127340BR


Job description

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.
•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.

About Us
Infosys is a global leader in next-generation digital services and consulting. We enable clients in more than 50 countries to navigate their digital transformation. With over four decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI-powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always-on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem.

Infosys provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability.