Overview
Remote
On Site
Hybrid
BASED ON EXPERIENCE
Contract - Independent
Contract - W2
Contract - 12+ mo(s)
Skills
SKILLS TO BE ASSIGNED
Job Details
About us:
Lumen Solutions Group Inc., a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Florida, USA. As a leading consulting services and solutions provider, we focus on IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation for our clients. Our client base includes Fortune 500, Government, non-profit and emerging growth companies.
Job Description: Job Title: Lead Technical Analyst/Network Management (Oversight of networks including specialty)
This role supports the oversight and optimization of pharmacy network operations. Responsibilities include:
- Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.
- Support credentialing, re-contracting, and termination processes across all network pharmacy providers.
- Ensure alignment of network operations with contractual, regulatory, and service-level standards.
- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
PURPOSE:
Delivers critical and emerging systems and data analysis and implements tools and technology for the whole enterprise. Design, and deliver management systems. Build, manage, and sustain critical systems, business and data analysis techniques, methods, tools, and processes. Owns data collection capabilities through collaboration with internal and external teams. Leads cross-departmental, and cross-functional team members.
ESSENTIAL FUNCTIONS:
25% Performs complex system analyses on software programs, applications, and services.
20% Leads product and service evaluation and recommends new tools or platforms for user efficiency.
20% Leads the implementation of new technology for organizational efficiency.
15% Communicates directly with all stake holders including executive management.
10% Improves data collection capabilities through collaboration with organizational teams.
10% Manages product licenses and ensures compliance with IT industry regulations. Provides the organization with cost saving analysis.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's Degree
Education Details: Computer Science, Information Technology, or related field
Experience: 8 years relevant systems/technical analysis
In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Preferred Qualifications
Advanced degree
Knowledge, Skills and Abilities (KSAs)
Ability to navigate through various complex systems, deliver quality solution with in budget and schedule. , Expert
Ability to understand projects and concepts as they relate to high-level business objectives., Expert
Knowledge of architecture, application development, data structure and analysis techniques and methods., Expert
Proficiency in reading security patterns and audit reports to adhere with standards. , Expert
Strong interpersonal skills and ability to work in a team-based environment., Expert
Understanding of Project Management and translating organization objectives into goals., Expert
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology. ***
Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.
Lumen Solutions Group Inc., a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Florida, USA. As a leading consulting services and solutions provider, we focus on IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation for our clients. Our client base includes Fortune 500, Government, non-profit and emerging growth companies.
Job Description: Job Title: Lead Technical Analyst/Network Management (Oversight of networks including specialty)
This role supports the oversight and optimization of pharmacy network operations. Responsibilities include:
- Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction.
- Support credentialing, re-contracting, and termination processes across all network pharmacy providers.
- Ensure alignment of network operations with contractual, regulatory, and service-level standards.
- Coordinate with internal stakeholders to address network performance concerns and ensure resolution.
PURPOSE:
Delivers critical and emerging systems and data analysis and implements tools and technology for the whole enterprise. Design, and deliver management systems. Build, manage, and sustain critical systems, business and data analysis techniques, methods, tools, and processes. Owns data collection capabilities through collaboration with internal and external teams. Leads cross-departmental, and cross-functional team members.
ESSENTIAL FUNCTIONS:
25% Performs complex system analyses on software programs, applications, and services.
20% Leads product and service evaluation and recommends new tools or platforms for user efficiency.
20% Leads the implementation of new technology for organizational efficiency.
15% Communicates directly with all stake holders including executive management.
10% Improves data collection capabilities through collaboration with organizational teams.
10% Manages product licenses and ensures compliance with IT industry regulations. Provides the organization with cost saving analysis.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's Degree
Education Details: Computer Science, Information Technology, or related field
Experience: 8 years relevant systems/technical analysis
In Lieu of Education
In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Preferred Qualifications
Advanced degree
Knowledge, Skills and Abilities (KSAs)
Ability to navigate through various complex systems, deliver quality solution with in budget and schedule. , Expert
Ability to understand projects and concepts as they relate to high-level business objectives., Expert
Knowledge of architecture, application development, data structure and analysis techniques and methods., Expert
Proficiency in reading security patterns and audit reports to adhere with standards. , Expert
Strong interpersonal skills and ability to work in a team-based environment., Expert
Understanding of Project Management and translating organization objectives into goals., Expert
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology. ***
Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.