PBM Integration Specialist
2 weeks ago
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.
- 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.
- 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.
$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.
-
PBM Integration Specialist
1 month ago
Syracuse, New York, United States ProAct - PBM Full timeJob SummaryThe PBM Integration Analyst plays a crucial role in supporting the configuration, testing, and maintenance of partner integrations and claim record analysis and remediation for ProAct - PBM.Key ResponsibilitiesSupport the execution of all accumulator operations and interfaces from implementation through ongoing operations and...
-
Benefit Operations Specialist
6 days ago
Syracuse, New York, United States KPH Healthcare Services Full timeJob SummaryWe are seeking a highly skilled Benefit Operations Specialist to join our team at KPH Healthcare Services. As a key member of our operations team, you will be responsible for the entry of new client data or changes to existing clients into our PBM adjudication platform.Key Responsibilities:Perform benefit changes and updates for existing ProAct...
-
Facilities Technology Integration Specialist
4 weeks ago
Syracuse, New York, United States Upstate University Hospital Full timeJob Summary:The Facilities Technology Integration Specialist will oversee the management of active construction BIM documents for the entire Upstate campus, participating in operations and project meetings to gather information and ensure seamless integration.This role requires the development and maintenance of campus building models, linking and...
-
HVAC Integration Specialist
1 month ago
Syracuse, New York, United States Stark Tech Full timeJob OverviewStark Tech is a leading provider of facilities and energy solutions, and we're seeking a skilled HVAC Integration Specialist to join our team.As a key member of our team, you'll be responsible for designing, configuring, and operating complete temperature control building control systems and other low-voltage control sub-systems to meet project...
-
Regulatory Compliance Specialist
1 week ago
Syracuse, New York, United States KPH Healthcare Services, Inc. Full timeJob SummaryWe are seeking a highly organized and detail-oriented Regulatory Compliance Specialist to join our team at KPH Healthcare Services, Inc. The successful candidate will be responsible for assisting with regulatory and compliance matters, including preparation, organization, and communication of contracts, licensing/registration applications, and...
-
Facilities Technology Integration Specialist
4 weeks ago
Syracuse, New York, United States Upstate University Hospital Full timeJob Summary:The Facilities Technology Integration Specialist will oversee the management of active construction BIM documents for the entire Upstate campus, participating in operations and project meetings to gather information. This role requires strong problem-solving skills, organizational and time management skills, and the ability to prioritize work.Key...
-
Senior Energy Systems Integration Specialist
6 days ago
Syracuse, New York, United States StarkTech LLC Defunct Full timeJob SummaryWe are seeking a highly skilled Senior Energy Systems Integration Specialist to join our team at Stark Tech. In this role, you will be responsible for overseeing the integration and commissioning of components and control systems within microgrid and BESS projects.Key ResponsibilitiesProgramming and configuring control softwareTesting and...
-
Regulatory Compliance Specialist
5 days ago
Syracuse, New York, United States KPH Healthcare Services, Inc. Full timeJob SummaryWe are seeking a highly organized and detail-oriented Regulatory and Compliance Clerk to join our team at KPH Healthcare Services, Inc. This role will be responsible for providing administrative support to ensure compliance with regulatory requirements and maintaining accurate records.Key ResponsibilitiesAssist with preparation, organization, and...
-
Data Entry Specialist
1 week ago
Syracuse, New York, United States PDS Tech Full timeData Entry SpecialistWe are seeking a highly skilled Data Entry Specialist to join our team at PDS Tech. As a Data Entry Specialist, you will be responsible for accurately and efficiently entering data into our systems. Key Responsibilities: Enter data into our systems with high accuracy and speed Maintain data quality and integrity Collaborate with our team...
-
Clinical Laboratory Specialist
2 weeks ago
Syracuse, New York, United States Your Hiring Coaches Full timeYour Hiring Coaches is seeking a skilled Clinical Laboratory Specialist to assist in performing various assigned duties, trouble shooting, training and making work flow recommendations. The ideal candidate will have experience doing blood draws, labeling specimens, centrifuging specimens, recording maintenance data and decontamination, updating patient...
-
Medical Support Specialist
1 week ago
Syracuse, New York, United States Integrated Dermatology Full timeJob SummaryIntegrated Dermatology is seeking a skilled Medical Support Specialist to join our team. As a Medical Support Specialist, you will play a vital role in providing exceptional patient care and supporting our medical staff in a fast-paced dermatology practice.Key ResponsibilitiesEscort patients to exam rooms and assist medical providers with exams...
-
GIS Specialist
2 weeks ago
Syracuse, New York, United States Rapid Response Full timeJob Title: GIS SpecialistWe are seeking a highly skilled GIS Specialist to join our team at Rapid Response. As a GIS Specialist, you will play a critical role in maintaining our proprietary GIS database and working closely with the Licensing & Permitting Department.Key Responsibilities:Review and update existing GIS maps within our database, ensuring...
-
Peer Support Specialist
1 month ago
Syracuse, New York, United States St. Joseph's Hospital Full timeJob Title: Peer SpecialistAt St. Joseph's Health, we are committed to providing exceptional care to our patients and communities. We are seeking a dedicated and compassionate Peer Specialist to join our team.Job Summary:The Peer Specialist will serve as a person's individual advocate, developing opportunities for skill development and ensuring that the...
-
Residential Specialist
2 weeks ago
Syracuse, New York, United States Liberty Resources Full timeJob Title: Residential SpecialistWe are seeking a dedicated and compassionate Residential Specialist to join our team at Liberty Resources. As a key member of our Crisis Intervention team, you will play a vital role in providing support and guidance to individuals experiencing mental health challenges.Job Summary:The Residential Specialist will work closely...
-
Wound Care Specialist
1 week ago
Syracuse, New York, United States Bishop Rehabilitation & Nursing Center Full timeJob Title: Wound Care SpecialistJob Summary:Bishop Rehabilitation & Nursing Center is seeking a skilled Wound Care Specialist to join our team. As a Wound Care Specialist, you will be responsible for overseeing all skin integrity in our facility, ensuring the highest quality of care for our residents.Key Responsibilities:Conduct thorough skin assessments on...
-
CAD Design Specialist
2 weeks ago
Syracuse, New York, United States Ramboll (FormerlyO'Brien & Gere Engineers, Inc.) Full timeRamboll is seeking a skilled CAD Design Specialist to join its Syracuse, New York team. About the Role:As a CAD Design Specialist, you will be responsible for producing high-quality drawings using computer-assisted drafting systems (CAD) or drafting machines. Your strong technical skills and attention to detail will enable you to meet the needs of our...
-
Senior Audio-Visual Systems Specialist
1 week ago
Syracuse, New York, United States Upstate University Hospital Full timeJob Summary:The Senior Audio-Visual Systems Specialist is responsible for installing and maintaining audio-visual equipment, including projectors, speakers, and displays. This role also involves programming basic AV control systems and audio DSP. The Specialist will conduct routine maintenance and updates to ensure optimal performance and reliability of...
-
Wound Care Specialist
1 week ago
Syracuse, New York, United States Centers Health Care Full timeJob Summary:As a Wound Care Specialist at Centers Health Care, you will be responsible for overseeing the skin integrity of our residents. This includes conducting thorough skin assessments on new admissions and providing expert advice and support to residents and their families.Key Responsibilities:Conduct regular skin assessments to identify potential...
-
Quality Assurance Specialist
5 days ago
Syracuse, New York, United States Baanyan Software Services, Inc. Full timeWe are seeking a skilled Quality Assurance Specialist to join our team at Baanyan Software Services, Inc. The ideal candidate will have experience in IOPQ generation and execution, as well as utilities, lab, and manufacturing equipment validation. Key responsibilities include facilities/utilities commissioning and qualification of mixers, subs, autoclave,...
-
Mechanic - Equipment Maintenance Specialist
2 weeks ago
Syracuse, New York, United States Bowlero Full timeBowling Equipment TechnicianAt Bowlero, we're looking for a skilled Maintenance and Repair Specialist to join our team. As a key member of our maintenance team, you'll be responsible for ensuring the smooth operation of our bowling equipment. Your duties will include: Maintaining and repairing pinsetters, pinpotters, and other bowling equipment to ensure...