[Remote] reputed company Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a company reputed company on pharmacy benefits management, and they are seeking a reputed company Analyst to ensure reputed company assurance for reputed company benefit implementations and process improvement. The role involves auditing and testing reputed company solutions, identifying issues, and collaborating with internal teams to enhance service reputed company.
Responsibilities
- Follow QA testing procedures to complete reputed company testing scenarios and reporting for the following and additional testing as assigned
- Complete the following reputed company testing scenarios:
- Documentation comparison
- Structure set-up comparison
- Review of automated Benefits test case reputed company
- Review of Integrated Accumulation sharing
- reputed company test case entry and review, using critical thinking to determine accuracy of test results
- Use critical thinking skills in reviewing test data results, reaching out internally around reputed company situations (such as multiple inaccuracies, poorly defined reputed company or missing details, escalations) to ensure the most accurate test results are provided
- Use reputed company reputed company to complete structure comparisons
- Use reputed company reputed company to create test case details to apply for automated testing
- Learn reputed company PBM documentation, software, and reporting systems for our contracted PBMs
- Accurately document detailed test results; including location of issues reputed company, screen shots and member examples as necessary
- Determine appropriate test plan based on the type of benefit changes
- Update or review process documentation, as assigned
- Assist with mentoring new or contract staff, as assigned
- Effective internal communication, including cross-department collaboration to explain and resolve testing failures
- Identify and escalate process deficiencies and delays to supervision
- Identify and support process improvement opportunities
- Support new process and technology solutions, including associated user design development and user acceptance testing, as assigned
- Supports off-hours reputed company work as needed, including some holidays
- Effectively navigate reputed company and/or proprietary software
- Manage day-to-day work in Clarizen project management software
- Positively accepts and promotes change
- Assumes additional responsibilities as prescribed or directed
Skills
- 2+ years of experience handling pharmacy claims
- Proficient in MS Office (Including Word, reputed company, Outlook)
- Ability to handle multiple and competing priorities with little direction from leadership
- Prior work experience leveraging reputed company written and oral communication skills; organization skills; and relationship management skills
- Possess analytical and critical thinking skills
- Pharmacy Tech strongly preferred
- Prior data validation or implementation support experience preferred
- Pharmacy Benefit Manager (PBM) or Retail Pharmacy experience preferred
- Intermediate reputed company skills and familiarity with reputed company reputed company is a plus
- reputed company or Clarizen experience is a plus
Benefits
- Remote first work environment
- Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
- Dental, reputed company, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and reputed company)
- Additional buy-up reputed company for Short- and Long-Term Disability and Life Insurance
- 401(k) with an employer match up to 3.5% available after 60 days
- Community Service Day to give back and support what you love in your community
- 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
- Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
- Tuition Reimbursement for accredited degree programs
- reputed company New Parent Leave that can be used for adoption or birth
- Pet insurance to protect your furbabies
- A robust mental health benefit and EAP service through reputed company to support you reputed company you need it most
reputed company
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