PBM Integration Specialist

2 weeks ago


Syracuse, New York, United States ProAct - PBM Full time
Job Summary

The PBM Integration Analyst plays a crucial role in supporting the configuration, testing, and maintenance of partner integrations and claim record analysis and remediation.

Key Responsibilities
  • Support the execution of all accumulator operations and interfaces from implementation through ongoing operations and maintenance.
  • Work with new and existing partners in the development and administration of ProAct's core business processes related to accumulators.
  • Partner with development to test custom programming related to processing and automating accumulator data.
  • Analyze business data to perform root cause analysis on data issues as they occur.
  • Explain requirements and processes to internal/external technical and business partners.
  • Complete all mandatory and regulatory training programs.
Requirements
  • Bachelor's degree preferred. Relevant experience considered for exceptional candidates.
  • Pharmacy Technician or related experience highly desirable.
  • 1-3 years of PBM experience in claims or insurance operations.
Job Skills
  • Ability to understand behavior of claims systems, file feeds, and other elements related to processing accumulator data.
  • Ability to identify data quality issues and define/implement corrective solutions.
  • Identify opportunities and recommend changes to IT that will help ensure optimal performance in our database and systems environment.
  • Coordinate activities, changes, and communication with internal groups and business partners.
  • Ability to handle multiple tasks and changing priorities in a fast-paced, rapidly growing environment.
  • Excellent verbal and written communication skills.
  • Self-motivated with excellent customer service and problem-solving ability.
Compensation

$26.00-33.50/hr

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.



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