Network Analyst

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🛜 Network Engineer / Network Administrator

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

EmpiRx Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • Pharmaceuticals • Healthcare Insurance

EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.

📋 Description

• Implement assigned benefit plan, pricing, network, and reimbursement configurations • Complete manual pricing changes, MAC updates, pricing table updates, and related operational tasks • Validate pricing setup, reimbursement logic, and configuration outputs • Research pricing or configuration discrepancies, document findings, and escalate risks or questions • Support ongoing maintenance of client pricing, network configuration, and operational records • Support new client implementations, renewals, and plan changes through configuration, pricing, testing, and validation activities • Follow QA procedures for benefit plan setup, pricing configuration, reimbursement logic, and claim adjudication outcomes • Document implementation results, testing outcomes, defects, remediation steps, and lessons learned • Coordinate with Network Operations, Implementation, Client Experience, Product, and other internal teams • Use Excel and reporting tools to review claims, pricing, utilization, reimbursement, and client performance data • Perform ad-hoc analysis and investigate pricing, reimbursement, and operational variances • Prepare summaries of findings, open questions, and recommended next steps • Create and maintain process documentation, configuration notes, implementation checklists, QA evidence, MAC update templates, and operational records • Follow established SOPs and contribute process updates • Communicate status, risks, blockers, and questions to leadership and cross-functional partners

🎯 Requirements

• Bachelor’s degree required or equivalent relevant work experience as determined by HR and business leadership • 2+ years of experience, preferably in PBM operations, healthcare operations, benefit plan setup, pricing configuration, reimbursement operations, claim adjudication, or a related field • Experience working with benefit plan, pricing, reimbursement, network, claim, or other operational configuration processes • Strong attention to detail and ability to complete manual configuration or pricing updates accurately • Ability to work independently, manage assigned work, follow documented procedures, and escalate questions or risks appropriately • Intermediate to advanced Microsoft Excel skills, including formulas, lookups, pivot tables, data validation, and large dataset review • Analytical and mathematical problem-solving skills with the ability to investigate variances, validate outputs, and summarize findings clearly • Strong written and verbal communication skills, including the ability to document work clearly and explain operational issues to internal stakeholders

🏖️ Benefits

• Paid Time Off • 401(k) program • Health Insurance including Dental & Vision coverage • Health Savings Account • Employee Assistance Program