Operations Analyst
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Job Description
Operations Analyst responsible for implementing and maintaining EDI processing for VytlOne's pharmacy management systems. Collaborates with clients to ensure data integrity and accuracy.
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 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.
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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