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Job Number:
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1281
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Job Type:
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Full-Time
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Job Category:
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Pharmaceutical - Misc
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Company:
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SXC Health Solutions, Inc
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Location:
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Boston, MA
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Date Posted:
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03/10/2010
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Travel:
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SXC Health Solutions Corp. is redefining pharmacy benefit management by providing a broad range of pharmacy spend management solutions and information technology capabilities. Our product offerings and solutions combine a wide range of PBM software applications, application service provider (ASP) processing services, and professional services designed for many of the largest organizations in the pharmaceutical supply chain, such as pharmacy benefit managers, managed care organizations, self-insured employer groups, retail pharmacy chains, and state and federal government entities. This job will be located in our new Boston office that is projected to be established soon.
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| Responsibilities: |
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The Business Analyst is a position that performs tasks necessary for the support of the business needs of the SXC client. These individuals must be able to analyze the business needs of the client and identify the means for fulfilling those needs within the RxClaim application. This requires developing and maintaining an excellent working relationship with the client(s) and the team, in addition to possessing an excellent understanding of the industry and the various system solutions. The person will be the liaison between the client and the SXC development team to design solutions that meet the client's business requirements.
The Business Analyst is adept at the art of client diplomacy and team relationship building, in addition to possessing sound project management skills to apply these attributes to meet the clients' business needs. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Job Functions:
- Embrace SXC Health Solutions' and our client's strategic direction, while maintaining an excellent understanding of SXC Health Solutions' systems to further enhance our relationship with our client base.
- Assist in product development by participating in strategic planning and system design for product redesigns and major product enhancements.
- Meet weekly with product teams to keep updated with new software in development. Participate in client User Group meetings.
- Understand the role of the system in the big picture and provides ideas and recommendations regarding the evolution of the system.
- Provide resolution for SXC Health Solutions' external client by investigation of client requests for enhancements and determination of solutions including system design and specification development.
- Respond to client's questions and influence them regarding current and potential system inputs, processes, and outputs.
- Negotiate plans, time frames and trade-offs while ensuring client understands the final results of the project.
- Define user requirements and create design specifications.
- Maintain an ongoing knowledge of clients' business.
- Assist in client product implementation.
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| Qualifications: |
- Must have excellent analytical, organizational, and interpersonal skills, as well as a strong background in pharmacy claims processing and the managed care industry. Prefer experience working within the PBM market, with understanding of pharmacy benefit plan structures, NCPDP standards, HIPAA regulations.
- Must understand the work flow of pharmacy claim processing, including Enrollment, Drug Utilization Review, Adjudication, Pricing, Payments/Billing, and, other features resident in a pharmacy benefit system
- Strong business knowledge of Pharmacy Benefit Systems and Drug benefit plan administration.
- Ability to review deliverables with external and internal users.
- Ability to effectively present information and respond to questions from clients, management and technical associates
- Ability to write reports and business correspondence
- Experience with various software products
- Excellent organizational, communication and analytical skills
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