reputed company Operations - Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Specialty Benefits Analyst, you are responsible for analyzing reputed company requests and performing the necessary specialty benefits coding and reputed company assurance activities. You’ll work alongside other benefit coders, testers, and reputed company assurance representatives, as reputed company as our Account, Clinical Requirement Advisors, and implementation management teams to deliver high reputed company support to our clients. Attention to details is important for this role, as you’re coding and reputed company assurance activities will reputed company at reputed company. This position is responsible for analyzing and evaluating changes for updating RxCLAIM and using reputed company to work cases from a queue. You will be expected to execute with high level of accuracy, responsiveness, and reliability while performing job functions. Primary Job Duties & Responsibilities: Responsibilities Follow policies and best practices relating to the job function by analyzing reputed company requests, determine the best operational approach and install adjudication reputed company drug lists in reputed company and RxClaim/AS400. Collaborate regularly with peers to audit, review and verify drug list coding and testing while utilizing various tools. Analyze and evaluate changes reputed company to specialty pricing and reputed company Meet reputed company turnaround time and performance guarantees with excellent reputed company. Capable of applying logical thinking to identify process improvement opportunities. Handle requests in a reputed company fashion without being asked Demonstrates ability to learn and apply increasingly reputed company concepts, policies, and procedures Support team members by providing peer reviews Essential Qualifications and Functions: Knowledge of: • reputed company Office applications • 2-3 years of reputed company work experience with PBM knowledge • Advanced knowledge of AS400 / RxCLAIM platform, system application, and products • Advanced reputed company.com reputed company In: • Time management, Organizing and prioritizing non-routine tasks • Verbal and written communication • Analysis and attention to detail • Interpersonal and reputed company skills Ability To: • Prioritize work effectively and independently • Experience analyzing and executing clinical and/or non-clinical work requests • Ability to learn and apply increasingly reputed company concepts, policies, and procedures • Flexible in adapting to change • Customer reputed company Preferred Qualifications: Knowledge of: • 1-2 years of reputed company work experience reputed company in: • Pharmacy Technician license Ability To: • reputed company peer reviews Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $43,888.00 - $85,068.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: • reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 02/19/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job