Business Analyst Healthcare - PBM
Infosys
IT
Hartford, CT, USA · Indianapolis, IN, USA · Phoenix, AZ, USA · Raleigh, NC, USA · Richardson, TX, USA · United States
Posted on Dec 17, 2024
Job details
Country
USA
State / Region / Province
Arizona, Connecticut, Indiana, New Jersey, North Carolina, Texas
Work Location
Bridgewater, NJ, Hartford, CT, Indianapolis, IN, Raleigh, NC, Richardson, TX, Tempe, AZ
Domain
Consulting
Interest Group
Infosys Limited
Skills
Domain|Healthcare|Healthcare - ALL, Technology|Healthcare|PBM Order management and Claims processing
Company
ITL USA
Requisition ID
127278BR
Job description
Infosys is seeking Business Analyst Healthcare-PBM. This role requires close partnership and collaboration with other Business Stakeholders and Subject Matter Experts. Essential Job Duties include managing HealthPlan applications Deployment aligned to Industry best practices and translating functional & technical requirements into implementation work package.
Required Qualifications:
• Candidate must be located within commuting distance of Hartford, CT or Richardson, TX or Raleigh, NC or Bridgewater, NJ or Tempe, AZ or Indianapolis, IN and be willing to relocate to the area. This position may require travel in the US
Required Qualifications:
• Candidate must be located within commuting distance of Hartford, CT or Richardson, TX or Raleigh, NC or Bridgewater, NJ or Tempe, AZ or Indianapolis, IN and be willing to relocate to the area. This position may require travel in the US
- 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 4 years of Information Technology experience.
- At least 4 years' experience with healthcare payer, preferably on Claims, Benefits, and Care Management.
- Candidates authorized to work for any employer in the United States without employer-based visa sponsorship are welcome to apply. Infosys is unable to provide immigration sponsorship for this role at this time.”
Preferred Qualifications:
• At least 4 years of 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)
• Candidate should have atleast 5+ yrs of experience on key PBM functions like Benefit Setup, Formulary Management, Specialty Pharmacy Process, Mail Order Drug, Claims adjudication,. Clinical programs like DUR, Precert , 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 may also entail sitting as well as working at a computer for extended periods of time. Candidates should be able to communicate by telephone, email or face to face.
• At least 4 years of 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)
• Candidate should have atleast 5+ yrs of experience on key PBM functions like Benefit Setup, Formulary Management, Specialty Pharmacy Process, Mail Order Drug, Claims adjudication,. Clinical programs like DUR, Precert , 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 may also entail sitting as well as working at a computer for extended periods of time. Candidates should be able to communicate by telephone, email or face to face.
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.