Senior Business Analysis Professional – Operations
SS&C Technologies
full-time
Posted on:
Location Type: Remote
Location: Remote • Kentucky, Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Lead DSNP Compliance for DMR
- Oversee DSNP Program Implementation
- Guide Change Management
- Resolve POS Outages
- Manage Reason Codes and Product Data
- Serve as UAT Testing Expert
Requirements
- At least 5 years of experience in analyzing data and solving problems
- Improving and implementing business processes
- Experience in DMR Claims Processing, Pharmacy Benefits Management, or related fields
- At least 3 years of experience in working with claims or prior authorization (PA) management systems like PAHub, CGX, CAS, Macess, RxNova, etc.
- User Acceptance Testing (UAT) experience, validating logic, and ensuring claims processing standards
- Familiarity with CMS Prescription Drug Manuals used for DMR Claims Processing and ability to interpret and apply federal and state requirements
- Strong skills in analyzing data and improving processes
- Excellent communication, teamwork, and organizational abilities
- Proficiency in Microsoft Office applications
Benefits
- Health insurance
- 401(k) plan
- Tuition reimbursement
- Professional development reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisproblem solvingbusiness process improvementclaims processingprior authorization managementUser Acceptance Testing (UAT)data validationprocess improvement
Soft skills
communicationteamworkorganizational abilities