Contech Systems Inc. · 5 days ago
BSA, Pharmacy Data
Newark, NJ
Contract
Hybrid
Senior Level
$65/hr - $80/hr
7+ years expContech Systems Inc. is seeking a seasoned Business Systems Analyst with deep experience in pharmacy data and payer-side pharmacy benefit operations. This role involves gathering, analyzing, and documenting business and technical requirements to support data integration and analytics across the pharmacy domain.
Software
Responsibilities
Partner with business, data, and technical teams to define requirements related to pharmacy claims, formulary management, and Rx lifecycle processes
Analyze business needs and translate them into detailed functional and technical specifications for system enhancements, data integrations, and reporting solutions
Document end-to-end workflows for pharmacy claims adjudication, drug coverage determination, and cost management processes
Support data mapping, interface design, and validation for payer pharmacy systems
Apply strong understanding of the Pharmacy Benefit Management (PBM) ecosystem and payer-side integration requirements
Demonstrate expertise in how formularies are structured, maintained, and utilized in pricing and benefit design
Understand the Rx claims adjudication lifecycle, including submission, pricing, edits, approvals, and reimbursement
Interpret drug utilization data and support initiatives related to cost control, benefit optimization, and clinical outcomes
Work with teams to ensure compliance with HIPAA, CMS Part D, and other applicable federal regulations governing pharmacy data exchange and storage
Perform data querying, profiling, and validation using SQL and SAS to ensure data integrity across multiple pharmacy data sources
Collaborate with data engineers and analysts to validate source-to-target data transformations
Support development of test cases and participate in UAT to ensure accuracy and completeness of implemented solutions
Act as a liaison between business stakeholders, data teams, and IT to ensure requirements are properly interpreted and implemented
Participate in sprint planning and review sessions to align deliverables with overall data strategy
Communicate complex technical findings in clear, business-friendly terms
Create and maintain BRDs, FRDs, data mapping documents, and workflow diagrams to support both functional and technical stakeholders
Track and report on progress, dependencies, and risks for assigned deliverables
Qualification
Required
Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field
7+ years of experience as a Business Systems Analyst in healthcare payer or pharmacy data environments
Strong knowledge of Rx lifecycle processes, pharmacy claims adjudication, and formulary management
Experience with federal drug databases (e.g., NDC, RxNorm, FDA, CMS)
Understanding of PBM processes, Part D regulations, and HIPAA compliance
Hands-on SQL and SAS experience for data querying, analysis, and validation
Proven ability to document functional and technical requirements with precision
Excellent analytical, communication, and stakeholder management skills
Must have payer-side experience (not focused solely on PBM or retail pharmacy operations)
Preferred
Familiarity with pharmacy rebate or drug pricing data
Experience working with data warehouses or data lakes supporting pharmacy data domains
Exposure to cloud data platforms (Databricks, AWS, Snowflake, Azure)
Understanding of clinical integration between pharmacy and medical claims data
Company
Contech Systems Inc.
Since 1998, Contech Systems delivered staffing solutions for Fortune 500 companies.
201-500 employees
H1B Sponsorship
Contech Systems Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2022 (1)
2021 (1)
2020 (6)
Funding
Current Stage
Growth StageLeadership Team
J
Joseph Contino
Founder, Chief Customer Officer
Company data provided by crunchbase