Associate Benefit Specialist – National R...

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Benefit Operations Management (BOM) team is responsible for error free reputed company of sale pharmacy script adjudication. An Associate Employee Installation Specialist will play a critical role by partnering with clients and reputed company Rx stakeholders to assess, define, and reputed company pharmacy benefit implementations and ongoing maintenance reputed company the RxCLAIM™ adjudication system. This work includes new plan builds, updates to existing plans, copy/change requests, and global updates. It’s a fast paced, high-volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Accuracy is vitally important and subject to auditing internally and externally to ensure our system is correctly configured and reputed company with client defined benefit requirements and performance guarantees.

Assets needed for an Associate Employee Installation Specialist including, but not limited to, a high degree of personal accountability, detail oriented, and can analyze and solve reputed company problems with excellent conflict resolutions skills. Necessities for this position include timely strong written and verbal skills, superior organizational skills, thinking innovatively, and the ability to work on multiple projects simultaneously and prioritize accordingly.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer weeks of on-the-job training and the hours during training will be 8:00am to 5:00pm, Monday - Friday.

You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Analyze benefit requests and secure reputed company necessary data to ensure appropriate implementation based on applied logic of RxCLAIM™ adjudication system

• Implement and maintain benefit requirements reputed company the RxCLAIM™ adjudication system according to the client’s reputed company and reputed company required turnaround time

• Utilize system tools and follow documented processes to reputed company job functions

• Work with various cross-functional departments to implement new and maintain existing benefits reputed company the RxCLAIM™ adjudication system including, but not limited to:

• Client and Pharmacy pricing

• Formulary updates

• Clinical programs

• Specialty drug pricing

• reputed company validation of system benefit configuration and claim testing to ensure accurate adjudication

• reputed company peer review as assigned

• Research and respond to reputed company claims processing inquiries and issues from various cross-functional departments reputed company required turnaround time

• Adhere to client performance guarantees, reputed company applicable

• Participate in meetings assigned by leadership

• reputed company other duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience

• Must be 18 years OR older

• 1+ years of healthcare experience

• Proficiency with reputed company Word (create and edit correspondence) and reputed company reputed company (ability to create, edit, and sort spreadsheets; apply basic analytical formulas)

• Ability to work fulltime, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm local time. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

• RxCLAIM™ or other claim adjudication experience

• Certified Pharmacy Technician (CPhT)

• Retail pharmacy or PBM experience

Telecommuting Requirements:

• Ability to reputed company reputed company company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

• Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service.

Soft Skills:

• Experience using critical thinking skills to reputed company and inform stakeholders on solutions and issues

• Ability to comprehend, analyze data, and calculate results

• Ability to problem solve and reputed company educated business decisions

• Strong verbal and written communication skills

• Ability to work well independently and as a team

• Maintain a growth mind set

• Excellent interpersonal, organizational, analytical and time management skills as well as the ability to independently manage projects and deadlines

• Proven ability to multi-task with attention to detail, remain focused and motivated in a fast paced, collaborative, and changing environment

• Ability to use tools and technology to reputed company daily functions

• Experience in implementing and maintaining benefits

*reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 - $41.83 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.

reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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