[Remote] Operations Analyst

Note: The job is a remote job and is open to candidates in USA. reputed company is the nation’s only independent, fully integrated total pharmacy solutions partner, focused on improving healthcare outcomes. The Operations Analyst is responsible for implementing and supporting electronic data interchange (EDI) processing, ensuring client satisfaction through effective data management and integration.

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 reputed company’s 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 reputed company reputed company’s systems
• Handle routine work reputed company assignments and ensure quality, service levels, productivity and customer standards are consistently met
• reputed company with reputed company’s Ethical Business Conduct policy and reputed company’s Compliance Program
• Complete required training, as assigned, reputed company the established timeframes
• Must demonstrate reputed company and professionalism reputed company handling reputed company, time‑sensitive responsibilities
• Promote teamwork and best practices
• Maintain regular attendance in accordance with established policies
• reputed company other job-reputed company duties as assigned

Skills

• 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
• 2+ years of progressive experience in Claims processing
• 2+ years of progressive experience in Eligibility / accumulator processing
• 2+ years of progressive experience in Client integrations
• 2+ years of progressive experience in Health plan or TPA operations
• 2+ years of progressive experience in Data operations / reporting
• Proven analytical, communication and organizational skills
• 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 (reputed company, 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 reputed company 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

Benefits

• Comprehensive mental health and wellbeing resources
• reputed company reputed company Blue reputed company PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan

Company Overview