Responsible for one or more of the following : leading, planning and controlling projects; defining customer requirements;
analyzing and designing solutions to business problems; programming new systems; maintaining existing systems; coordinating creation and change of data structures;
integrating vendor packages; researching new tools, technologies, or platforms; thoroughly testing all program logic; creating test plans;
and supporting the customer.
When analyzing and designing solutions, the incumbent is responsible for developing cost effective automated solutions that meet business requirements.
To successfully accomplish this goal, close customer contact is required.
The incumbent reviews current procedures / systems and proposes recommended solutions and alternatives to satisfy customer requests for system enhancements.
Job Duties and Responsibilities :
Analyzes / researches business problems to determine the impact on existing business and IT systems and procedures, as well as the feasibility of automation.
Conforms with PMO guidelines and procedures when developing IT solutions to defined business problems using structured methodologies.
Conducts meetings with customers to ensure requirements are defined and adequately satisfied.
Designs innovative solutions using emerging and existing technologies for business problems and determines feasibility and practicality of implementation within current or future environments.
Prepares test data and conducts program and system tests to ensure compliance. Assists customers in establishing acceptance criteria and effectiveness of proposed solutions.
Maintains knowledge of the department’s programming languages and tools, coding and design techniques, data base management systems, processing platforms and emerging technologies through continued education.
Experience / Skills :
Familiarity with the healthcare insurance industry.
Knowledge of pharmacy industry, pharmacy benefit manager, pharmacy formulary, managed care principles, and prescription claims processing systems.
Knowledge and understanding of medical and pharmaceutical terminology and practices.
Working experience with Informatica PowerCenter and ETL, including experience in defining requirements, and designing and architecting integration solutions
Experience with Informatica capabilities beyond PowerCenter, such as Informatica Cloud
Working experience with SQL, Shell Scripts and Stored procedures
Working knowledge of database management technologies, data modeling practices and database platforms (e.g. Oracle, Sybase, SQL Server) and data warehouse concepts
Working knowledge of programming languages, testing and productivity tools (e.g. SQL, ETL tools).
Strong communication skills; effectively communicate (verbally and in writing) with all levels of plan personnel and external contacts with professionalism (courtesy, persuasion, and tact).
Strong organization skills to prioritize workload, process multitasks, monitor project activities, and manage time effectively in an ever-changing health care environment.
Ability to handle rapidly changing priorities and meet stringent deadlines with minimal supervision.
Strong interpersonal and team skills with ability to work and interact with Management level staff both within and outside of Pharmacy Services to handle benefit, group / member, or operation issues.
Ability to provide off-hours assistance to support customers and I / T initiatives.
Ability to work independently and / or as a member of a project team.
A Bachelor’s degree in Computer Science, Business Administration or related field; or a minimum of five years IT experience;
or an equivalent combination of experience and education.
Capital BlueCross is an independent licensee of the BlueCross BlueShield Association. We are an equal opportunity / affirmative action employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.