Job Summary
We are seeking an experienced Business Analyst – Pharmacy Claims with expertise in NCPDP, IBM i (AS/400), DB2, Pharmacy Claims Processing, and Healthcare Systems. The ideal candidate will support the migration from NCPDP D.0 to F6, working closely with business, compliance, and IT teams to deliver successful enterprise healthcare solutions.
Required Skills
- Business Analysis
- Pharmacy Claims
- NCPDP D.0 / F6
- IBM i (AS/400)
- DB2 for i (DB2/400)
- SQL
- RPG / RPGLE
- BRD / FRD Documentation
- Requirements Gathering
- Data Mapping
- Impact Analysis
- System Integration Testing (SIT)
- User Acceptance Testing (UAT)
- APIs
- EDI
- Batch Processing
- Agile / Scrum
- SDLC
Responsibilities
- Lead business analysis for NCPDP D.0 to F6 migration.
- Gather, document, and validate business and functional requirements.
- Analyze IBM i (AS/400) applications and DB2 databases.
- Prepare BRDs, FRDs, process flows, user stories, and data mapping documents.
- Perform impact analysis across pharmacy claims, billing, adjudication, and reporting.
- Support SIT, UAT, defect resolution, and production deployment.
- Validate business data using SQL and DB2 queries.
- Collaborate with business, compliance, QA, and development teams.
To apply for this job email your details to vinnie@amtexsystems.com