Business Operations Specialist
1 week ago
We are seeking a highly skilled Business Analyst to join our team at HMSA. As a Business Analyst, you will play a critical role in managing activities related to communication and notification efforts.
Key Responsibilities- Project Implementation
- Serve as the subject matter expert for Pharmacy Management with regards to communications or notifications.
- Collaborate with internal and external areas to ensure project notification needs are met.
- Understand the communication needs and intent to ensure appropriate message is relayed to internal & external entities.
- Information Validation
- Validation of impact analyses related to Pharmacy Management notifications.
- Validation of Pharmacy Management postings to & PRC.
- Review of links to ensure information posted is accurate and up-to-date including but not limited to formulary documents, payment polices.
- Benefit Support
- Manage inquiries coming to Pharmacy Management.
- Triage inquiries to ensure servicing needs identified and addressed.
- Coordinate problem solving associated with inquiries.
- System Maintenance
- Monitor and evaluate accuracy of benefit delivery system through report development and review.
- Defines and maintains system functionality for drug claims processor, including, but not limited to the drug claims processing, such as UM edits, formulary updates and benefit design & delivery.
To be successful in this role, you will need to have excellent communication and problem-solving skills, as well as the ability to work effectively in a team environment. You will also need to have a strong understanding of business operations and be able to analyze complex data to identify trends and areas for improvement.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about business operations, we encourage you to apply for this exciting opportunity.
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