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Business Systems Analyst at Cognizant

Posted in Information Technology 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Dayton, Ohio

Job Description:

Job Title: Business Systems Analyst with Pharmacy Benefits Management experience



Roles and Responsibilities:

1.       Understanding, elicitation and documentation of clients business needs around prescription benefit plan design

2.       Translating client needs and requirements to internal teams such as Benefits Coding, Testing and Quality Analysis

3.       Building relationships with key client stakeholders through a consultative approach to fully understand client benefit plan design needs

4.       Facilitating internal and external meetings and presentations to provide status updates and make decisions relative to client benefit setup

5.       Operate in a fast-paced environment with tight deadlines and make key decisions


Mandatory Skills :

1.Business Systems Analyst xperience

2.Knowledge of Medicaid, Medicare, Commercial,

3.PBM Industry experience

4.Experience in Payer

5.Expertise in SQL, Testing

6.Healthcare Knowledge – Basics of how US healthcare works and the terminology related to healthcare benefits

7.Good Communication Skills

8.Good Interpersonal skills


Nice to Have Skills:

1.       PBM Industry experience

2.       Understanding on Formulary Management, Drug Utilization Management, and Claims Adjudication

3.       Experience in RxClaim and  benefit plan design

Technical Skills

SNo Primary Skill Proficiency Level * Rqrd./Dsrd.
1 Networx - Facets Pricer NA Required
2 Facets - Billing NA Required
3 Facets - Benefits NA Required


* Proficiency Legends

Proficiency Level Generic Reference
PL1 The associate has basic awareness and comprehension of the skill and is in the process of acquiring this skill through various channels.
PL2 The associate possesses working knowledge of the skill, and can actively and independently apply this skill in engagements and projects.
PL3 The associate has comprehensive, in-depth and specialized knowledge of the skill. She / he has extensively demonstrated successful application of the skill in engagements or projects.
PL4 The associate can function as a subject matter expert for this skill. The associate is capable of analyzing, evaluating and synthesizing solutions using the skill.