Description

You will lead requirements gathering, analysis, and solution definition to support payor clients across pharmacy benefit management (PBM) use cases. You will author BRDs, validate solutions via UAT, and collaborate cross-functionally with Product, Engineering, and Account Management to deliver data-driven solutions that improve healthcare outcomes.

Requirements

• Bachelor’s degree in Healthcare Administration, Computer Science, or equivalent relevant professional experience
• 5+ years of experience working with healthcare administration software
• Demonstrated experience in requirements gathering and documentation
• Strong ability to communicate clearly and concisely with both technical and non-technical audiences
• Proven ability to build and manage effective working relationships with internal and external stakeholders
• High level of organization, attention to detail, and time management
• Ability to multitask and adapt positively to shifting priorities
• Strong problem-solving mindset with the ability to anticipate and address emerging issues
• Experience contributing to process improvement and operational efficiency initiatives
• Hands-on experience in Pharmacy Benefit Management (PBM) operations, including pharmacy data, payor integrations, utilization analysis, rebate tracking, benefit structures, and claims reconciliation

Responsibilities

• Lead client requirements gathering and analysis with subject matter experts
• Author clear Business Requirements Documents (BRDs) including acceptance criteria and non-functional requirements
• Translate client needs into reports, dashboards, data extracts, and analytical views
• Validate delivered solutions against documented requirements
• Support and coordinate client User Acceptance Testing (UAT) in partnership with QA teams
• Partner with Product, Engineering, Account Management, Program Management, and Sales
• Contribute client insights to product roadmap and feature prioritization
• Support client engagement and serve as a trusted solutions partner
• Assist with training internal teams and supporting client implementations
• Identify opportunities to improve processes, solution quality, and client satisfaction