PBM Systems Analyst

Role: Sr Systems Analyst

Location: Remote

Duration: 12 Months

Job description:

We are seeking a Senior System Analyst with strong PBM (Pharmacy Benefit Management) domain expertise to take on a lead role in establishing and managing operational processes for a newly transitioned function.

This role requires a blend of data analysis, operational management, stakeholder communication, and coordination with IT and offshore teams.

Key Responsibilities:

* Analyze and understand historical data files, including structures and dependencies

* Interpret and validate file formats, data types, and data flow processes

* Manage day-to-day operational activities including data management, data ingestion, and data conversions

* Ensure smooth execution of operational processes and maintain data quality standards

* Handle email communications and coordinate effectively with internal teams, external stakeholders, and vendor partners

* Collaborate closely with IT teams and offshore resources for requirement clarification, issue resolution, and testing support

* Track incoming and outgoing data files, ensuring timely processing and status updates

* Prepare and publish regular status reports, highlighting progress, issues, and risks

* Contribute to defining, standardizing, and improving operational processes and best practices.

Required Skills:

* Strong experience in PBM domain (claims, eligibility, formulary, rebates, etc.)

* Proven experience in a System Analyst or similar role, preferably at a senior or lead level

* Strong understanding of data structures, file processing, and data lifecycle management

* Hands-on experience with data formats (e.g., flat files, CSV, XML, etc.)

* Excellent analytical and problem-solving skills

* Strong communication and stakeholder management abilities

* Experience coordinating with cross-functional teams including IT, vendors, and offshore teams

* Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.

Preferred Skills:

* Experience in setting up or transitioning operational functions/processes

* Knowledge of healthcare data standards and compliance requirements

* Familiarity with data validation and reconciliation processes

* Experience with reporting tools and dashboards.

Key Competencies:

* Leadership and ownership mindset

* Attention to detail and data accuracy

* Strong organizational and tracking skills

* Proactive communication and collaboration