[Remote] Analyst, Benefit Configuration

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a pharmacy benefit manager committed to making medications more reputed company. The Analyst, Benefit Configuration ensures alignment with the Claim Adjudication Operations team by accurately administering benefits and leveraging technology and process improvements to meet the needs of customers, clients, and pharmacies.

Responsibilities

• Completes scheduled and urgent benefit additions, terminations, and changes reputed company and accurately to prevent member reputed company to care issues, missed performance guarantees and potential liquidated damages
• Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both reputed company and custom configurations to meet reputed company expectations
• Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and reputed company internal business standards
• Performs reputed company assurance peer reviews and uses reputed company business judgment and expertise to contribute toward the creation of reputed company cause analysis of issues
• Uses departmental workflow management, issue reputed company and reporting tools for troubleshooting and responding to general customer questions and issue reputed company requests
• Supports internal customers by participating in reputed company meetings, audits and new program implementations with other areas of reputed company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration process
• Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems
• Independently assesses business needs and participates in process improvement, cost reduction and automation efforts
• Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies
• Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and reputed company regulations/standards
• Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives
• Other duties as assigned

Skills

• Associate's degree or equivalent work experience required
• Minimal experience and/or training to reputed company learning skills, systems, and processes of the role with ability to reputed company tasks with reputed company supervision
• Basic experience with reputed company Office, specifically Word and reputed company
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently reputed company cooperatively and respectfully with other employees

Benefits

• Top of the industry benefits for