Intermediate Business Consultant, Pharmacy Systems Job in Aurora, Colorado US
Intermediate Business Consultant, Pharmacy Systems
The IT Analyst will be responsible for analyzing, designing and delivering solutions as well as supporting the processing in/out of the pharmacy systems. Responsibilities include: - Release Mangement: Develops both quality and acceptance criteria for software deployment into multiple environments. Ensure quality criteria are established and met before software is delivered. Includes: Vendor Upgrades / Enhancements (New Vendor GUI / Security, New Extract Roll-Out, Release Management into Prod, Test and Production Stablization) - Production Support: Identify opportunities for operation improvement through troubleshooting issues in a production environment. Support business operations in production stabilization of pharmacy systems. - Production Support - Connectivity Issues - KP Membership PBM Issues - PBM Membership Processing Issues - PBM File Issues (Transfers, Data Elements, Late Files, etc.) -Deployment / Cutover Management - Release Mgmt - Deployment Planning - Cutover Coordination - Adhere to SOX requirements / controls. - Adhere to HIPAA and Kaiser guidelines on management of PHI and MPII. - Maintain and build relationships with internal IT, business operation, regional departments and vendors to deliver standard software solution in support of pharmacy activities. - The Benefits Membership PBM team has ownership and accountability in the following areas. - Partners with Pharmacy Business Leads and Business Vendor Mgmt leads - PBM Processes SMEs - Requirements / Solution documents - Financials - Directs any development work with PBMs - Eligibility/Group Claims extracts ( National and Regional) - Coordinates development work within Kaiser Permanente - NCRS Jobs - Membership/Benefits Support - Provides analytical support/services to Kaiser downstream systems - Coordinates any data exchanges with all Kaiser downstream systems (including regional systems) - Testing Support - Test Scenario / Test Case (SME role) - Works with both WIT, SIT and regional testers - Data Setup / Coordination - Testing environments - Old and New PIMs - Test Extract Coordination - FTP Sites - Job Scheduling Qualifications: Basic Qualifications: - Bachelors degree or equivalent relevant experience in Pharmacy Operations, Health Care Administration, Public Health Administration - Minimum of 2 years of Informatics and business expertise on pharmacy benefits (particularly with Pharmacy Business Management) and membership interfaces. - Proven background in working collaboratively in and with highly matrixed, cross-functional teams on a national basis. - Ability to assess downstream system impacts. - Partnering with IT, Business and vendor stakeholder to identify requirements and potential solutions for new development as well as troubleshooting issues in a production environment. - Strong verbal and written communications skills PreferredQualifications: - Knowledge of batch and real-time interfaces of industry standards. - Expertise in pharmacy benefit designs for products such as Medicare, HDHP/HSA, Self funding and Value-Based products. - Working knowledge of NCPDP standards - Knowledge of standard PBM services such as network management, call center support and clinical/formulary support.