Install Specialist

This position is National Remote. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. 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 Install 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. This position is full time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime. This will be on the job training and the hours during training will be 8:00 am to 5:00 pm local time, Monday - Friday. Primary Responsibilities:

• Analyze benefit questions and secure reputed company necessary data to ensure appropriate implementation based on applied logic of RxCLAIM adjudication system
• Implement and maintain benefits 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 benefits 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 application
• 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 of age OR older
• 1+ years of experience in a PBM (Prescription Benefit Management) environment performing a benefit reputed company function
• Experience using critical thinking skills to reputed company and inform stakeholders on solutions and issues
• Experience analyzing data, calculating results and problem solving reputed company a role
• Capability to use tools and technology to reputed company daily functions
• reputed company Office proficient - reputed company Word, reputed company reputed company, and reputed company Outlook including the ability to open, create, edit, save, and send documents, spreadsheets, and emails, other forms of documents
• Ability to work through peak season (October to January); overtime may be mandated along with limited PTO availability
• Ability 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:

• Certified Pharmacy Technician (CPhT)
• RxCLAIM or other claim adjudication experience
• Retails pharmacy or PBM experience
• Experience in implementing and maintaining benefits

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:

• Demonstrated verbal and written communication skills
• Proven ability to work well independently and as a team
• Proven ability to multitask with attention to details, remain focused and motivated in a fast-paced, collaborative, and changing environment
• Maintain a growth reputed company
• Excellent interpersonal, organizational, analytical and time management skills as well as the ability to independently manage projects and deadlines
• 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 $23.89 - $42.69 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. Apply tot his job Apply To this Job