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Senior Analyst Pharmacy (PBM)
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Tata Consultancy Services Limited
Mason, OH (In Person)
$120,000 Salary, Full-Time
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Job Description
Must Have Technical/Functional Skills We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain. The candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end delivery pharmacy solutions. . Required Skills & Experience(8 years)
- Strong expertise in Pharmacy Benefit Management (PBM) processes: Pharmacy claims adjudication Formulary and drug benefits Prior authorization workflows Membership, enrollment, and billing
- Strong background in: Requirement gathering and documentation Agile methodologies Stakeholder communication
- Good understanding of HIPAA compliance. Preferred Skills
- Experience with PBM platforms and pharmacy ecosystems.
- Exposure to: o Drug claims processing and adjudication o Pharmacy networks and pricing o Medicare / Commercial health plans
- Knowledge of tools: JIRA / Rally / ALM SQL for data validation