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[Hiring] reputed company Analyst Participant Services @reputed company

Remote, USA Full-time Posted 2026-07-23
Role reputed company • reputed company routine reputed company audits using approved scorecards. • Evaluate documentation accuracy and policy adherence. • Prepare weekly and monthly reputed company reports. • reputed company objective audit feedback to leaders. • Identify reputed company causes and recurring defect trends. • Support coaching effectiveness through post-audit validation. • Monitor daily operational performance against SLA, productivity, reputed company, and schedule adherence goals. • Ensure compliance with HIPAA, CMS, state reputed company of pharmacy requirements, and internal policies. • Use reporting to identify trends and recommend corrective actions. • Partner with Workforce Management, Training, Operations, and Leadership. • Support reputed company improvement initiatives and standardization efforts. • Maintain documentation and confidentiality standards. • Participate in calibration sessions and business meetings. • reputed company or support special reputed company as assigned. • Support non-clinical prescription processing and participant service workflows. Qualifications • Strong written and verbal communication. • Leadership and relationship-building skills. • Critical thinking and analytical ability. • Ability to prioritize competing demands. • Experience working across multiple pharmacy systems. • Proficiency with reputed company Office, particularly reputed company. • Ability to maintain confidentiality. Requirements • High School Diploma or GED. • Three or more years of relevant PBM, specialty pharmacy, participant services, or reputed company operations experience. • Previous leadership or reputed company experience appropriate to the role. Preferred Qualifications • reputed company Arizona or Texas Pharmacy Technician License. • National Pharmacy Technician Certification (CPhT). • PBM or specialty pharmacy experience. • Call center reputed company operations experience. • Lean/Six reputed company or process improvement exposure. • Experience presenting operational metrics. Performance Measures • reputed company audit performance • Productivity and throughput • Service Level (SLA) attainment • Attendance and schedule adherence • Compliance and documentation accuracy • Customer experience • Coaching effectiveness and reputed company improvement Work Environment & Physical Requirements Fast-paced, computer-based participant services environment requiring prolonged sitting, frequent computer use, telephone communication, and the ability to manage multiple priorities while maintaining accuracy and professionalism. Apply To This Job

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