Address
Form of workThe Operations Analyst is responsible for the support and ongoing maintenance of client and third-party administrator (TPA) electronic data interchange (EDI) processing. The analyst works in operations and utilizes systems and applications for loading batch files, monitoring automated jobs, identifying file/data issues and resolving data exceptions. These processes keep medical coverage eligibility, member demographics, and claim/deductible balance accumulators in sync between Maxor's PBM platform and our client's systems. Reporting to the Sr. Director of Client Integration, the Operations Analyst will meet all service standards to ensure client satisfaction.
Our Company
We're Maxor and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.
Our Locations
The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices.
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 Maxor's PBM platform, application, file integration functions/standards and client specific configurations.
- Demonstrate knowledge of pharmacy benefit administration, coverage eligibility, claim/deductible accumulators, and setup/configuration within Maxor's systems.
- Handle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently met.
- Performs general business operations of MaxorPlus and our customers
- Operations analyst exercises discretion and independent judgment with respect to data integrity, coverage eligibility and balance accumulation.
- Comply with Maxor's Ethical Business Conduct policy and Maxor's Compliance Program.
- Complete required training, as assigned, within the established timeframes.
- Must be able to cope with the mental and emotional stress of the position.
- Promote teamwork and best practices
- Maintain regular attendance in accordance with established policies.
- Perform other job-related duties as assigned.
Education: High School Diploma/G.E.D. required. Associate's Degree in business, health administration, information systems, or pharmacy technician certification a plus.
Experience: Proven analytical, communication and organizational skills.
Knowledge, Skills, and Abilities:
- 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
- A desire to develop processes and tools to more effectively manage operational tasks
- Ability to research issues and collaborate with internal/external partners though resolution
- Ability to effectively collect and document customer requirements and knowledge share
WHY CHOOSE A CAREER AT MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients' lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.
WE OFFER: A diverse, progressive culture that supports a "dress for your day" attire and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
- Company paid basic life/AD&D, Short-term and Long-term disability insurance
- Rx, dental, vision, short-term disability, and FSA
- Employer-matched 401k Plan
- Industry leading PTO plan
- And MORE!
Apply today at: https://careers-maxor.icims.com/
Maxor is an EOE, including disability/vets
Employment Type: OTHER
