Senior Business Analyst-Government Healthcare

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them.

You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

SENIOR BUSINESS ANALYST- GOV HEALTHCARE (remote)

Description

• Provides subject matter expertise for a variety of Medicaid PBM operational services and product functionality to internal pursuit teams in key PBM functions as they relate to pharmacy benefits administration.
• Use your pharmacy benefits management experience, and skills to guide customers on how to fully integrate pharmacy and related applications including drug rebate, using best practices.

Responsibilities

• Must possess a very good understanding of the healthcare payer space with a minimum 5 years’ experience in the domain.
• Prior experience in implementing/maintenance of commercial payer solution and/or Medicaid system
• Experience with claims processing concepts, member enrollment, and care management concepts.
• Work with the clients to create/gather requirements and document them
• Must adhere to (or define) the processes for requirement solicitation, documentation and hand off.
• Work with the development team to implement a best-in-class solution.
• Basic understanding of concepts like web services, relational databases etc.,
• Run queries and perform basic system analysis, RCA etc.,
• Create mapping documents for the various interfaces and include business rules, transformation, and DB mapping.
• Work with the client and development team during the stages of development, and conduct demos
• Excellent communication skills
• Work with Architecture and Design teams to define GUI view and platform requirements

Preferred skills:

• Prior experience as a QA or Developer in a healthcare system helpful.
• Ability to validate Test scenarios and test plans, test data.
• Be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
• Ability to assess current functionality available in a product
• MS Visio skills preferred
• Defect tracking and version control tools like Jira, TFM, DevOps Azure

Qualified candidates please apply, but prefer Western U.S candidates as clients are in Mountain and Pacific time zones. Must be flexible to work in various time zones to accomodate client needs

Is the timing is right, and you have the skills listed, please APPLY

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent’s ADAAA Accommodation Policy.

At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.