Plan Operations Analyst

March 16

SmithRx

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SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.

Healthcare • Pharmaceuticals • Healthcare IT • Pharmacy Benefit Management • Pharmacy Benefits Management

51 - 200

💰 $20M Series B on 2022-03

Description

• Collaborate with Partner Relationship Manager to support the daily operations including issues, projects, and opportunities for the Third Party Administrator partners • Lead audits and reconciliation efforts for both internal and external partners • Ability to create ad hoc queries and reports to support issue resolution and partner needs • Maintain platform configurations necessary for ongoing operations • Communicate project status, escalating issues to leadership when appropriate • Drive changes to improve workflow efficiency • Participate in process and workflow documentation • Serve as a mentor for new team members and a trainer for new processes • Collaborate and provide support for member support and customer success teams • Collaborate cross-functionally on system enhancements for workflow automation • Become the subject matter expert for plan design configuration details • Understand and facilitate account structure, eligibility, and accumulator requirements • Validate system configurations for accuracy by monitoring inbound files from external partners • Monitor ongoing Engineering operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, and reporting • Support new partner integrations and client implementations • Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross-functionally to resolve key issues that may arise • Interface with technical resources of partners to surface issues and tracking outstanding work requests

Requirements

• Bachelor's degree or equivalent work experience preferred • 4+ years of experience developing reporting or analytics in the healthcare and/or pharmacy space • Robust analytical skills; advanced skills in Microsoft Excel. (Macros, Micros, Pivot table, V lookup, H Lookup etc.) • Familiarity with analytics and visualization tools required. Bonus points for experience with Looker, Datadog, Jira, Tableau, and/or Salesforce • Familiar with basic SQL queries • Strong communication skills via face-to-face meetings, conference calls and written correspondence • Self-starter mentality: ability to work independently to manage their time and assigned partners, make informed decisions, find creative approaches to difficult challenges, and deliver on commitments • Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven • Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance • Flexible Spending Benefits • 401(k) Retirement Savings Program • Short-term and long-term disability • Discretionary Paid Time Off • 12 Paid Holidays • Wellness Benefits • Commuter Benefits • Paid Parental Leave benefits • Employee Assistance Program (EAP) • Well-stocked kitchen in office locations • Professional development and training opportunities