PBM Business Analyst

ALTA IT Services • Permanent • Maryland, United States • $48 / * • 4d ago

Job Title: PBM Business Analyst Location: Remote Type: Contract Compensation: $48/HR Contractor Work Model: Remote ALTA IT is seeking a PBM Business Analyst with strong Pharmacy Benefit Management (PBM) expertise to support a leading health insurance client. The ideal candidate will have hands-on experience with eligibility, integrated accumulators, and FACETS. This role will serve as a critical bridge between business stakeholders and technical teams, ensuring business needs are accurately captured, documented, and translated into actionable system and process improvements. Responsibilities Interpret and analyze business needs by gathering, documenting, and validating functional and non-functional requirements. Serve as the liaison between business stakeholders and IT/software development teams to ensure accurate translation of requirements. Develop clear, detailed business requirement documentation in alignment with established standards. Support project planning and requirements management activities, including facilitation of requirement analysis and verification sessions. Lead user acceptance testing (UAT), including test planning, documentation, and validation of requirements adherence. Identify, document, and troubleshoot system issues, collaborating with stakeholders to design solutions and workarounds. Provide guidance, training, and support to end users on systems, processes, and policies. Monitor and report on project progress, risks, and issues to ensure quality and timely deliverables. Coordinate assigned projects from concept through implementation. Research and resolve policy-related business process and system questions as needed. Qualifications Strong knowledge of PBM (Pharmacy Benefit Management) operations, eligibility, and accumulators. Experience with FACETS or similar healthcare administration systems. Proven ability to elicit, analyze, and document requirements for complex systems and processes. Experience leading UAT and issue resolution across business and IT teams. Excellent communication skills with the ability to present technical information in a clear, business-friendly manner. Strong problem-solving, critical thinking, and documentation skills. Ability to manage multiple priorities in a fast-paced environment. Bachelor's degree in Business, IT, or a related field preferred. System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. Ref: (ALTA IT)

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