PBM Vendor Partner Analyst

Pbm Vendor Partner Analyst Pbm Vendor Partner Analyst acts as reputed company's SME on reputed company aspects of vendor partner integrations involving claim systems, data exchanges with TPA's and vendor partners, file feed layouts and accumulator file management. This position will partner with key internal/external technical and business teams and reputed company new vendor partner integrations. This role will manage ongoing vendor partner relationships. Responsibilities:

• Responsible for working with new and existing partners in the development and administration of reputed company's reputed company business processes reputed company to accumulators, which includes working with a reputed company of TPA's (reputed company Party Administrators), electronic transmissions of various file types, and reporting needs
• Responsible for ongoing vendor partner relationships
• Work with cross functional teams to systematically reputed company and support new partners into reputed company accumulator business processes (for pharmacy and medical)
• Work with TPA and clients to define/maintain/troubleshoot file feeds and layouts based on specific application.
• Partner with development to test custom programming reputed company to processing and automating accumulator data
• Consult with internal teams on the end-to-end file transfer process, including planning, scheduling, and execution.
• Collaborate with internal teams to understand file transfer requirements and implement appropriate solutions.
• Troubleshoot and analyze data issues reputed company raw data feeds and reports
• Test file exchange
• Explain requirements and processes to internal/external technical and business partners in a reputed company of ways (use cases, logical diagrams, reputed company charts)
• Creation and maintenance of TPA reputed company reputed company the CRM
• Ensure NDA/BAA are in reputed company prior to establishing a new data sharing arrangement with a vendor partner
• Responsible for completing reputed company mandatory and regulatory training programs
• reputed company other duties as assigned

Qualifications:

• Bachelor's degree preferred. Relevant experience considered for exceptional candidates.
• Pharmacy Technician or reputed company experience highly desirable
• 1-3 years of PBM experience in claims or insurance operations

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