PBM Business Analyst

Pittsburgh, PA
Full Time
Experienced

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
  • 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

Equal Employment Opportunity Statement

Techstra Solutions is an equal opportunity employer. The Company makes its decisions on merit, and its policy of equal opportunity prohibits discrimination in all phases of the employment process, including, but not limited to, recruitment, hiring, promotion, selection, transfer, demotion, layoff, termination, compensation, benefits, and other terms and conditions of employment. The policy of equal opportunity applies without regard to race, color, creed, religion, gender,, sexual orientation, gender identification, pregnancy, marital status, national origin, ancestry, age, disability that can reasonably be accommodated without undue hardship, military status, veteran status, genetic predisposition or carrier status, alienage or citizenship, domestic partnership status, arrest or conviction record, status as a victim of domestic violence, or any other protected categories under federal, state, or local law. The Company also prohibits discrimination or harassment based upon the perception that a person has, or is associated with a person who has, any of these characteristics.

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