Business Analyst

• Acts as liaison with clinical team to coordinate timely and accurate completion of various business deliverables.
• Maintains clinical formulary/utilization management (prior authorization, step therapy & quantity limits) in web-based formulary management tool, Formulary Navigator.
• Support communication of clinical program and formulary changes to members and providers as well as internal stakeholders.
• Support quality assurance processes of clinical programs and formulary strategy
• Support compliance with PBM Accreditation requirements
• Support departmental compliance with state and federal regulations.
• Conducts root cause analysis of processes and issues, identifies, and makes recommendations for improvements, and develops documentation.
• Communicate plans, status, and issues within the team, group, or project, including business members and management.

Formulary Business Analyst II

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Business Analyst