Operations Analyst

OperationsOperationsFull TimeRemoteMid LevelTeam 1,001-5,000Since 1926H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Operations Analyst

Maxor National Pharmacy Services, LLC

• 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 VytlOne’s PBM platform, application, file integration functions/standards and client specific configurations. • Handle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently met. • Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. • Maintain regular attendance in accordance with established policies. • Perform other job-related duties as assigned.

Job Requirements

  • 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
  • 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 (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
  • 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
  • Nationwide Blue Cross Blue Shield 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

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