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Business Analyst, FFS Medicaid - Remote

Company: Navitus Health Solutions
Location: Austin
Posted on: March 17, 2023

Job Description:

Job Description Pharmacy Benefits Reinvented- As the industrys alternative pharmacy benefit manager (PBM), were committed to making prescriptions more affordable for you and your members. Here at Navitus, our team members work in an environment that celebrates creativity, fosters diversity and encourages growth. We welcome new ideas and share a passion for excellence. The Business Analyst, Fee for Service (FFS) Medicaid BA will provide Business Analysis support for the development, implementation, and maintenance of various products within the FFS Medicaid Department. The initial product requiring support is the Prescriber Services Module. The scope of this module is to provide timely and accurate member and benefit information to prescribers. This module will also support workflows including submission of requests that support benefits and coverage, multiple interaction methods, and provider self-help tools. The BA will work with internal and external resources to assess business needs and translate those needs into process flows, detailed requirements, work breakdown structures, and other deliverables that support the development and implementation of a best in class tool. Is this you? Find out more below! How do I make an impact on my team?

  • Develop and maintain deep knowledge of FFS Medicaid needs, the competitive landscape, regulatory requirements, and related processes
  • Collaborate with a wide range of internal and external business and technical resources
  • Facilitate gap analysis and requirements gathering sessions for as-is and to-be of the products lifecycle
  • Analyze use of products to understand behaviors and provide reporting as required
  • With input from key stakeholders, prioritize needs of the product and communicate next steps for resolution
  • Facilitate productive discussions to gather and document in both text and visual formats the expected functionality of the products
  • Work with development teams to ensure functional and non-functional requirements are understood and implemented appropriately
  • Work with the project management office to utilize and enhance tools that support the requirements, development, and testing processes
  • Create and update status reports that communicate the health of the products and related projects and enhancements
  • Generate and suggest creative, considered ideas to support issue/problem diagnostics and brainstorming of potential solutions What our team expects from you?
    • High school or GED and 4 years of relevant experience required. Bachelors degree preferred
    • Documenting complex functional and non-functional requirements
    • Participating in a development project team
    • Experience with core software applications, including Microsoft Word and Excel
    • Knowledge of Software Development Lifecycle (SDLC) methodologies
    • Experience in roles like a Business Analyst, Business Systems Analyst, or Product Manager
    • Participate in, adhere to, and support compliance program objectives
    • The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus?
      • Hours/Location: Monday Friday: 8:00am-5:00pm CST, Remote
      • Paid Volunteer Hours
      • Educational Assistance Plan and Professional Membership assistance
      • Referral Bonus Program up to $750!
      • Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Eight paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program by Jobble

Keywords: Navitus Health Solutions, Austin , Business Analyst, FFS Medicaid - Remote, Professions , Austin, Texas

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