Product Owner / Business Analyst - Cost Containment

TrueScripts Management Services, LLC; Washington; Remote; USD 90.000 - 130.000; Vollzeit

Zusammenfassung

TrueScripts Management Services, LLC is seeking a Business Analyst for Cost Containment Programs. The role focuses on analysis, design, implementation, and continuous improvement of cost containment initiatives, bridging business stakeholders with the development team.

You will translate business needs into clear requirements and acceptance criteria, guiding the lifecycle from discovery through launch and ongoing enhancement.

Qualifikationen

• Experience in PBM or healthcare cost containment.
• Knowledge of formulary/utilization management workflows.
• Experience with E2E process mapping and documentation.
• Proficiency with BI or data visualization tools (Power BI, Tableau).
• Familiarity with SDLC, APIs, and system integrations.

Aufgaben

• Partner with Operations and stakeholders to understand cost containment program goals, business rules, workflows, pain points, and operational requirements.
• Document current-state and future-state workflows, process maps, business rules, decisions, and dependencies.
• Translate program needs into actionable business requirements and test scenarios; escalate clinical decisions as needed.
• Maintain and prioritize a requirements backlog; support sprint planning and reviews.
• Coordinate with IT and Analytics to ensure solutions meet business needs and enable auditability.

Kenntnisse

PBM experience

Process mapping

SDLC knowledge

Agile (Jira/Azure DevOps)

Tools

Power BI

Tableau

Jira

Azure DevOps

Databases/APIs

Jobbeschreibung

All Jobs > Product Owner / Business Analyst - Cost Containment

Product Owner / Business Analyst - Cost Containment
Fully Remote Washington

Full-time

Description

TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy.

Our team members enjoy:

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• Employee Assistance Program
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• Dream Manager Program (yes, it’s a real thing!)
• A cohesive, family-based culture
• Charitable contributions and volunteer time

Ok, enough about us. Here’s what we need from you: A future team members' values need to align with TrueScripts' core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team's chemistry and continued success. Our culture is positive, and our people possess a ‘can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed.

Position Overview:

The Business Analyst, Cost Containment Programs supports the analysis, design, implementation, and ongoing improvement of TrueScripts’ cost containment initiatives, with a significant focus on requirements definition and supporting the development of an application that will support these programs. Reporting to Operations, this role serves as a key connection between business stakeholders, cost containment program owners, Operations, and the application development team. The Business Analyst translates business needs into clear requirements, workflows, user stories, acceptance criteria, and test scenarios to help ensure the application and related processes support accurate, efficient, scalable program administration.

The ideal candidate is highly analytical, curious, detail-oriented, and comfortable working across business and technical teams. They can understand operational needs, challenge unclear processes, document current and future state workflows, and stay engaged throughout the software development lifecycle, from discovery and requirements through testing, launch, and continuous improvement.

Responsibilities include:

Cost Containment Business Analysis

• Partner with Operations, Cost Containment Programs, pharmacists, and other stakeholders to understand cost containment program goals, business rules, workflows, pain points, and operational requirements.
• Analyze existing processes and identify opportunities to improve consistency, reduce manual effort, prevent errors, increase scalability, and support program performance.
• Document current-state and future-state workflows, process maps, business rules, decision points, exceptions, and dependencies.
• Translate clinical and operational programs needs into clear, actionable business requirements while escalating clinical decisions to the appropriate pharmacist or clinical owner.
• Support analysis of program data, operational trends, and performance measures to help identify Improvement opportunities and evaluate outcomes.
• Maintain organized documentation of requirements, process decisions, changes, and operating procedures for assigned programs.

Application Development and Delivery

• Serve as a primary Operations business analyst and ultimately the Product Owner for the cost containment application, representing business needs throughout discovery, design, development, testing, implementation, and ongoing enhancements.
• Work closely with developers, product or technical leads, and business stakeholders to translate requirements into user stories, functional specifications, workflows, and clearly defined acceptance criteria.
• Maintain and prioritize a requirements backlog in partnership with Operations leadership and relevant program stakeholders; support sprint planning, refinement, and review as needed.
• Facilitate requirements-gathering sessions, process walkthroughs, and design reviews to confirm that proposed application functionality aligns with real operational needs.
• Identify gaps, conflicting requirements, edge cases, dependencies, and impacts to existing systems or processes before they create downstream issues.
• Review prototypes, configurations, and completed functionality; provide timely feedback and confirm that delivered features meet documented business requirements.
• Support change management by documenting application updates, communicating process impacts, and helping prepare training materials and user guidance.

Testing, Implementation, and Continuous Improvement

• Develop test plans, test cases, and scenarios covering standard workflows, exceptions, edge cases, business rules, data quality, and regression impacts.
• Coordinate and support user acceptance testing (UAT), including test preparation, stakeholder participation, issue documentation, prioritization, retesting, and sign-off coordination.
• Validate that application outputs, calculations, status changes, alerts, and workflow results align with approved requirements and expected business outcomes.
• Partner with Operations and technical teams to investigate defects, clarify expected behavior, and support resolution of issues identified during testing or after launch.
• Assist with implementation planning, readiness reviews, process transitions, and post-launch monitoring to help ensure adoption and operational stability.
• Gather user feedback and performance information to recommend enhancements and support an ongoing cycle of improvement.

Cross-Functional Partnership and Operational Support

• Coordinate with Operations, Cost Containment, IT, Analytics, Compliance, Client Services, and other teams as needed to ensure requirements are understood and program changes are implemented consistently.
• Act as a liaison between business users and technical partners, communicating complex process or system concepts in clear, practical language.
• Support standardization of cost containment workflows, procedures, documentation, and reporting across assigned programs.
• Train or assist team members on updated workflows, application functionality, and process changes.
• Manage multiple workstreams, communicate risks and dependencies early, and adjust priorities based on business needs and direction from Operations leadership.
• Supports Cost Containment Managers in creation and ongoing maintenance of policy and procedures.

Product Ownership

• Accountable for application performance and maintenance.
• Manages the application development roadmap, ensures that priorities for capabilities and automation best align with program performance needs, workflow automation, and audit traceability.
• Serves as a liaison and application resident expert for all ideation activities related to new cost containment program development.

Requirements

• Experience in a pharmacy benefit manager (PBM), healthcare, pharmacy, health plan, or prescription drug cost containment environment.
• Familiarity with operations administration, formulary management, utilization management, claims processing, or pharmacy benefit workflows.
• Demonstrated experience in E2E process mapping and documentation.
• Working knowledge of analytic tools for data review, validation, or quality assurance.
• Experience with business intelligence or data visualization tools such as Power BI or Tableau.
• Familiarity with databases, APIs, system integrations, ETL processes, software development life cycle (SDLC), and front-end/back-end application concepts.
• Experience with Agile tools such as Jira, Azure DevOps, or similar backlog and issue-tracking platforms.

Working Conditions:

Primarily remote position with some travel to the TrueScripts office in Washington, Indiana, for meetings, team events, training, and cultural activities as needed. Estimated 15-20% travel required.