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
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