Business Analyst, Government Programs, Med-D

Navitus Health Solutions is a company dedicated to making medications more affordable by providing innovative pharmacy benefit management solutions. They are seeking a Business Analyst to support the development, implementation, and maintenance of products within the Technical Operations Department, focusing on compliance with Government Programs regulations.

Responsibilities:

• Identifies and manages changes to existing Technical Operations processes; this includes scope definition, business requirements, user acceptance testing, and implementation
• Establishes processes that are scalable and efficient, and ensures smooth transition to operational maintenance by the Technical Operations Analysts
• Develops project plans to ensure the quality and timeliness of project deliverables
• Ensures technical processes supporting government programs have the appropriate controls, oversight, and reporting, and are compliant with regulatory requirements from end to end
• Identifies key metrics to monitor the compliance and accuracy of the process, establishing oversight methods that are operationally efficient and effective
• Provides SME assistance when process metrics indicate a possible risk to compliance or accuracy, and leads any corrective action required following root cause analysis
• Reviews regulatory guidance, and identifies changes needed to existing Technical Operations processes and/or new processes which need to be established to remain compliant
• Performs data analysis using SQL or business intelligence software
• Develops a solid working knowledge of Navitus’ claims processing system
• Other duties as assigned

Requirements:

• Bachelor's degree in business-related field, or equivalent combination of education and experience
• 3+ years' Analyst experience with writing requirements, developing solutions, implementing process improvements, and conducting testing in a business environment preferred
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees