PBM Business Analyst

Reposted 16 Hours Ago
Pittsburgh, PA, USA
In-Office
Senior level
Cloud • Information Technology • Consulting
The Role
The PBM Business Analyst will serve as a Subject Matter Expert in rebates and invoicing processes, optimizing current systems, and produce project documentation related to PBM operations.
Summary Generated by Built In
Role Overview
The Business Analyst partners with business and technology stakeholders to modernize legacy PBM platforms, translate complex business needs into clear requirements, and support end-to-end delivery across the SDLC. This role is key in defining future-state processes, data flows, and reporting solutions within a Java and cloud-based environment.

Key Responsibilities
  • Serve as a Subject Matter Expert (SME) in PBM Manufacturer Rebates and Invoicing processes, guiding system reviews, data flows, and future-state solution design
  • Collaborate with business and technology stakeholders to evolve Current State processes into a more robust and optimized Future State
  • Support the modernization of a legacy PBM platform into a Java / Cloud-based application
  • Independently analyze business needs and produce high-quality project documentation and deliverables, including:
    • Business benefits and feasibility
    • Functional and technical requirements
    • Scope, risks, assumptions, and justification
  • Develop user stories and acceptance criteria in collaboration with the Product Owner
  • Assist with activities across the full Software Development Life Cycle (SDLC)
  • Document business and technical requirements (user stories, BRDs) supporting BI and reporting within the PBM rebates domain

Required Qualifications/Skills
  • Bachelor’s degree in Computer Science, Information Technology, or related field
  • 5+ years of Business Analyst experience
  • 5+ years of experience working for a leading PBM processor, such as:
    • CVS Caremark (CVS Health)
    • Medco
    • Express Scripts (Cigna / Evernorth)
    • OptumRx (UnitedHealth Group)
    • Prime Therapeutics
    • SS&C
    • MedImpact
    • Humana
    • CarelonRx (formerly IngenioRx)
  • 3+ years of hands-on experience with PBM Manufacturer Rebates and Invoicing processes
  • Proven experience in systems and/or data analysis within PBM environments
  • Strong expertise in requirements gathering, documentation, and stakeholder management
  • PBM Manufacturer Rebates & Invoicing expertise
  • Business & Systems Analysis within PBM platforms
  • Requirements gathering (BRDs, user stories, acceptance criteria)
  • Stakeholder collaboration & SME advisory
  • Legacy system modernization (Java / Cloud)
  • Data analysis, BI & reporting support
  • SDLC delivery & Agile collaboration
Preferred Qualifications
  • Data analysis
  • SQL
  • writing user stories
Location: Remote
About Techstra Solutions
Techstra Solutions is a certified woman-owned (WBENC) management consulting firm specializing in strategy, technology, and implementation services for large organizations undergoing digital and talent transformation. Our experienced team partners with clients to co-create innovative solutions in applications, data, AI, and automation that accelerate measurable, sustainable change. From advisory consulting through technical execution, we are dedicated to driving world-class business solutions that fit your strategic requirements and deliver results. For more information: www.techstrasolutions.com

Top Skills

Cloud
Java
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The Company
HQ: Pittsburgh, PA
16 Employees
Year Founded: 2012

What We Do

Techstra Solutions is a certified woman-owned consulting firm that provides strategy, technology and implementation support to large organizations undergoing digital and talent transformation. The rapid pace of technology innovation required to remain competitive, juxtaposed with the slow rate of change in many organizations, causes most to struggle. To be successful companies must drive new ways of working including the use of technology/analytics and new skillsets (hard/soft) deep into their culture so that they are able to rapidly and continuously react to change. They must also apply new approaches that empower their employees, ensuring its sustainability. At Techstra Solutions we focus on four key areas, otherwise known as the 4 A’s: Automation (Robotic Process Automation (RPA)/Intelligent Automation), Analytics (Reporting/Analytics/AI/ML), Application Modernization (Cloud, Mobility, etc), and Agile-based solutions (DevOps).

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