Pharmacy Claims Analyst 2

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology.

Job Description

Pharmacy Claims Analyst 2
Location: Kentucky - Remote
 

Get To Know the Team:

A team that supports critical processes to ensure accuracy and compliance for pharmacy point-of-sale claims processing.

Why You Will Love It Here!

• Flexibility: Hybrid Work Model & a Business Casual Dress Code, including jeans
• Your Future: 401 (k) Matching Program, Professional Development Reimbursement
• Work/Life Balance: Flexible Personal/Vacation Time Off, Sick Leave, Paid Holidays
• Your Wellbeing: Medical, Dental, Vision, Employee Assistance Program, Parental Leave
• Wide Ranging Perspectives: Committed to Celebrating the Variety of Backgrounds, Talents, and Experiences of Our Employees
• Training: Hands-On, Team-Customized, including SS&C University
• Extra Perks: Discounts on fitness clubs, travel, and more!

What You Will Get To Do:

As a Pharmacy Claims Analyst 2, you will support critical processes to ensure accuracy and compliance for pharmacy point-of-sale processing as it relates to Prescriber requirements and error override logic when a disaster has been declared by a state or federal government agency. You will work closely with the Senior Pharmacy Claims Professionals who own those processes. You will work on cross-collaborative project teams, with internal and external partners, to support the Senior Pharmacy Claims Professionals.  Ensure processes are documented, reviewed for appropriateness and compliance, and monitored regularly. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.  Responsibilities include: 

• Knowledge of pharmacy prescriber logic and end-to-end processes.
• Knowledge of pharmacy disaster logic and implementation of disasters in claims processing system on a day-to-day basis.
• User Acceptance Testing (UAT) for prescriber claims processing and upstream prescriber processes.
• Review daily, weekly, and monthly auditing to determine additional actions based on audit results.
• Create, update, and maintain reports and policy/procedure documents. 
• Collaborate on projects with internal/external areas related to required process or logic changes. 
• Other duties as assigned.   

What you will Bring:

• 1 - 5 years of data analysis & problem-solving skills 
• Comprehensive knowledge of all Microsoft Office applications, including Access, Word, Excel, and PowerPoint 
• Strong verbal and written communication skills, including the ability to tailor communication to the audience 
• Strong organizational and time management skills 
• Ability to handle multiple tasks, meet deadlines, and follow-up timely manner 
• Strong attention to detail 

Not Required But Will Set You Apart:

• Bachelor's degree 
• Previous experience with pharmacy benefits management  
• Project testing, including building scenarios 
• Pharmacy claims experience 
• Knowledge/experience working with SQL (via MS SQL Server, Oracle, PL/SQL, or other) 

Thank you for your interest in SS&C! To further explore this opportunity, please apply through our careers page on the corporate website at https://www.ssctech.com/careers/join-ssc ​

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Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.

 

 

SS&C Technologies offers a comprehensive total rewards package designed to support your wellbeing