Our Client Currently looking for Operations Analyst

Responsibilities

• Process and support daily/weekly client batch file updates working directly with account managers, implementation teams and clients.
• Conduct member and file research, file processing, manual updates, data analysis, troubleshoot and resolve integration and data quality issues.
• Demonstrate knowledge of  PBM platform, application, file integration functions/standards and client specific configurations.
• Demonstrate knowledge of pharmacy benefit administration, coverage eligibility, claim/deductible accumulators, and setup/configuration within  systems.
• Handle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently met.
• Comply with  Ethical Business Conduct policy and  Compliance Program.
• Complete required training, as assigned, within the established timeframes.
• Must demonstrate resilience and professionalism when handling complex, time ‑ sensitive responsibilities.
• Promote teamwork and best practices
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Qualifications

Education:

• High School Diploma/G.E.D. required. Associate’s degree or equivalent combination of education and experience

2+ years of progressive experience in:

• PBM operations
• Claims processing
• Eligibility / accumulator processing
• Client integrations
• Health plan or TPA operations
• Data operations / reporting

Experience: Proven analytical, communication and organizational skills.

Knowledge, Skills, and Abilities:

• 2+ years of experience as an operations analyst and/or relevant pharmacy benefit management (PBM) experience
• Strong organization skills with the ability to multi-task
• Excellent verbal and written communication skills
• Advanced knowledge of personal computers, including Windows Operating Systems, MS Office (Excel, MS Access, Word, Outlook)
• Capable of learning new applications/processes supporting client operations for pharmacy benefit management (PBM) systems
• Possess analytical aptitude and problem solving skills
• A desire to develop processes and tools to more effectively manage operational tasks
• Ability to research issues and collaborate with internal/external partners though resolution
• Ability to effectively collect and document customer requirements and knowledge share
• Knowledge of electronic file exchange (EDI) files

• Are you interested in this position?

   

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