Employer Industry: Pharmacy Benefit Management (PBM)

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including Medical, Dental, and Vision insurance
- Generous Paid-Time Off and Employee Assistance Program
- Retirement Plan with company match, fully vested immediately
- Flexible work environment with options for remote work
- Engaging and supportive work culture focused on employee well-being

What to Expect (Job Responsibilities):
- Manage tickets within a ticketing system, troubleshooting and resolving claims processing issues in a timely manner
- Adjudicate information on multiple software platforms and enforce procedures set by leadership
- Identify and correct Benefit Design errors within the claims processor based on client documentation
- Communicate with various teams, including Implementation, EDI, and Clinical, to facilitate benefit designs and resolve issues
- Participate in developing quality assurance processes for internal operations

What is Required (Qualifications):
- Associate or Bachelor's degree preferred
- 2 to 3 years of experience in a PBM environment, health plan, pharmacy chain, or managed care organization in a Systems or Plan Design capacity
- Intermediate or advanced proficiency with MS Excel, Word, PowerPoint, and Outlook
- Excellent verbal and written communication skills
- Strong organizational and time management skills

How to Stand Out (Preferred Qualifications):
- Previous experience working directly in a Pharmacy Benefit Management setting
- Demonstrated ability to easily adapt to and learn new technology and skills
- Strong problem-solving skills with a focus on thoroughness and detail
- Experience in a customer service role within healthcare or related industries

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