Pharmacy Systems Analyst

About the Organization:

The Executive Office of Health and Human Services (EOHHS) is the state’s largest secretariat and services over 2 million people through its 22,000 employees and oversees expenditures of $22 billion annually. The mission of EOHHS is to promote the health, resilience, and independence of the nearly one in every three residents of the Commonwealth we serve. Our public health programs touch every community in the Commonwealth. To learn more about EOHHS, please visit https://www.mass.gov/orgs/executive-office-of-health-and-human-services.   

About the Role:

The Executive Office of Health and Human Services IT Team (EOHHS IT) supporting the MassHealth program is seeking a Pharmacy Systems Analyst responsible for supporting the pharmacy system, MassRx. MassRx is a claims processing and rebate system, which processes around 26 million claims annually. The system generates around 1.6 billion in pharmacy payments to our Fee-For-Service Providers and another 1.6 billion in rebates returned to MassHealth from drug manufactures on our Fee-For-Service and Managed Care drug spend.

EOHHS IT is looking for a well-organized, result driven candidate who possesses leadership qualities. The ideal candidate will have extensive experience with pharmacy claims, National Council for Prescription Drug Programs (NCPDP) standards, and contracting/vendor management. The ideal candidate will be comfortable working in a matrix organization, have IT system analyst experience, as well as experience supporting all phases of a Software Development Life Cycle (SDLC) for enterprise applications including, but not limited to requirements, design, development, testing, and implementation. This role requires a proactive individual who can lead system changes and enhancements, ensuring the integrity and efficiency of our processes.

The incumbent of this role will work closely with the MassHealth IT Director and Director of Pharmacy Technology and Informatics for MassHealth, as well as broader MassHealth, EOHHS IT, and ForHealth teams supporting MassHealth and the pharmacy unit.

The primary work location for this role is 100 Hancock St, Quincy, Massachusetts 02179. The work schedule for this position is Monday through Friday, 9:00AM to 5:00PM EST. This position is expected to follow a hybrid model of reporting to work that combines in-office workdays and work from home days as needed. Occasional evening and/or weekend support may be required, as this position will be supporting release/production issues for systems that are accessible and operational around the clock, 24 hours a day, 7 days a week. 

Responsibilities:

·        Lead the development, implementation, and maintenance of the pharmacy claims processing and rebating system enhancements.

·        Be accountable for the full Software Development Life Cycle (SDLC) for system changes, including requirements gathering, design, development, testing, and deployment for assigned tickets.

·        Write and manage change orders, ensuring all changes are documented and approved by stakeholders.

·        Prioritize system change requests through meetings with end users and monitor programming development to ensure that implementation time frames are met. 

·        Prepare status reports for end users.

·        Create Requirements documentation for all system enhancements.

·        Create and assist staff in developing detailed design