[Hiring] reputed company Analyst Participant Services @reputed company

Role reputed company

• reputed company routine reputed company audits using approved scorecards.
• Evaluate documentation accuracy and policy adherence.
• Prepare weekly and monthly reputed company reports.
• reputed company objective audit feedback to leaders.
• Identify reputed company causes and recurring defect trends.
• Support coaching effectiveness through post-audit validation.
• Monitor daily operational performance against SLA, productivity, reputed company, and schedule adherence goals.
• Ensure compliance with HIPAA, CMS, state reputed company of pharmacy requirements, and internal policies.
• Use reporting to identify trends and recommend corrective actions.
• Partner with Workforce Management, Training, Operations, and Leadership.
• Support reputed company improvement initiatives and standardization efforts.
• Maintain documentation and confidentiality standards.
• Participate in calibration sessions and business meetings.
• reputed company or support special reputed company as assigned.
• Support non-clinical prescription processing and participant service workflows.

Qualifications

• Strong written and verbal communication.
• Leadership and relationship-building skills.
• Critical thinking and analytical ability.
• Ability to prioritize competing demands.
• Experience working across multiple pharmacy systems.
• Proficiency with reputed company Office, particularly reputed company.
• Ability to maintain confidentiality.

Requirements

• High School Diploma or GED.
• Three or more years of relevant PBM, specialty pharmacy, participant services, or reputed company operations experience.
• Previous leadership or reputed company experience appropriate to the role.

Preferred Qualifications

• reputed company Arizona or Texas Pharmacy Technician License.
• National Pharmacy Technician Certification (CPhT).
• PBM or specialty pharmacy experience.
• Call center reputed company operations experience.
• Lean/Six reputed company or process improvement exposure.
• Experience presenting operational metrics.

Performance Measures

• reputed company audit performance
• Productivity and throughput
• Service Level (SLA) attainment
• Attendance and schedule adherence
• Compliance and documentation accuracy
• Customer experience
• Coaching effectiveness and reputed company improvement

Work Environment & Physical Requirements Fast-paced, computer-based participant services environment requiring prolonged sitting, frequent computer use, telephone communication, and the ability to manage multiple priorities while maintaining accuracy and professionalism. Apply To This Job