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Job Opening

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Pharmacy Eligibility/Claims Business Analyst

CVS Health · Pa, Boucle du Mouhoun · Posted 3 days ago

$54k–$146kRemoteic
2+ yrs expSQLPL/SQLSQL ServerOracleBusiness AnalysisRequirements GatheringRequirements TraceabilityAgile

"Shape Medicare, Medicaid and Exchange enrollment capabilities on CVS Health's NextGen platform as a Scrum team business analyst owning requirements for membership integration and reconciliation stories."

Position Summary This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform. This role is responsible for delivering analysis and requirements of oversight for various Membership Integration and Reconciliation Stories within an Agile framework.

Required Qualifications 2-4 years of experience as a Business Analyst (or equivalent) supporting Medicare and Medicaid programs in an operational and/or technology context

2-3 years experience as a business analyst/project manager

2-4 years experience with PLSQL, SQL Server and / or Oracle, SQL Server databases

4-6 years experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews.

4-6 years experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis)

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This role is one of a handful of open Business Analyst roles in Remote and centers on Business Analysis, Medicare, Medicaid, and Pl/sql. There are 37,231 open roles at CVS Health right now.

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