Senior Pharmacy Benefit Modeler

Job Summary

A company is looking for a Senior Pharmacy Benefit Administration - Modeler/Trainer.

Key Responsibilities

• Lead the planning, design, and recommendation of business processes to support key business areas
• Facilitate analysis and documentation of client business requirements, including business process models and workflows
• Manage training material development and coordinate training for operational staff

Required Qualifications

• 6 or more years of experience in a relevant Business Analyst position, with Medicaid and Medicare experience preferred
• Knowledge of PBM-specific processes, including formulary management and claims adjudication
• Proven experience in analyzing and designing business processes and workflows
• Expertise in relational database concepts and system integration methodologies
• Proficiency in training methodologies and eLearning content development