Senior Operations Analyst - Archimedes

Company

Archimedes

About Us

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.

Pay Range

USD $0.00 - USD $0.00 /Yr.

Work Schedule Description (e.g. M-F 8am to 5pm)

Our Core Business Hours

Overview

The Senior Operations Analyst is responsible for the strategic and tactical execution of claims, and data ingestion operations. The role may also be involved with vendor relations as it relates to the operations areas. The role is responsible for day-to-day activities as well as plan build configurations.

Responsibilities

Job Responsibilities:

• Responsible accurate benefit and product implementations, adjudication and payment of claims.
• Conduct data analysis and present insights with internal stakeholders to understand opportunities to improve
• Support internal department and corporate projects.
• Manage network design projects.
• Maintain accurate and timely processing of claims and reject management.
• Lead for JIRA enhancements.
• Provide and lead implementation of projects or clients as needed.
• Provide on-going formal training to team members.
• Manage projects cross-functionally as needed.
• Ability to vendor and/or client-face as needed.
• Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
• Other duties as assigned.

Qualifications

Essential Background Requirements:

• Education: Bachelor's degree in business, marketing, or related area preferred.

• Experience:
  • 5 years of analyst experience required.
  • 5+ years in health care related operations roles required.
  • Knowledge of PBM operations and industry preferred.
  • PC skills; Microsoft Office, Email, and Internet.

Location : Address

Remote

Location : Country

US