PBM Business Analyst

Techstra Solutions • Pittsburgh, PA

2d • Remote

About The Position

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.

Requirements

• Bachelor’s degree in Computer Science, Information Technology, or related field
• 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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level