Must Have Technical/Functional Skills
We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain. The candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end delivery pharmacy solutions.
Required Skills & Experience(8 years)
• Strong expertise in Pharmacy Benefit Management (PBM) processes:
Pharmacy claims adjudication
Formulary and drug benefits
Prior authorization workflows
Membership, enrollment, and billing
• Strong background in:
Requirement gathering and documentation
Agile methodologies
Stakeholder communication
• Good understanding of HIPAA compliance.
Preferred Skills
• Experience with PBM platforms and pharmacy ecosystems.
• Exposure to:
o Drug claims processing and adjudication
o Pharmacy networks and pricing
o Medicare / Commercial health plans
• Knowledge of tools:
JIRA / Rally / ALM
SQL for data validation
Salary Range: $100,000- $140,000 a year
TCS Employee Benefits Summary:
Discretionary Annual Incentive.
Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
Family Support: Maternal & Parental Leaves.
Insurance Options: Auto & Home Insurance, Identity Theft Protection.
Convenience & Professional Growth: Commuter Benefits & Certification & amp; Training Reimbursement.
Time Off: Vacation, Time Off, Sick Leave & Holidays.
Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
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