Business Process Analyst 1 Jobs

In this role you will develop the skills necessary to complete the evaluation and validation of data, calculate rebates, and quantify your findings. You will also build and enhance your interpersonal skills that are necessary to build effective business relationships with your clients. Those skills are pertinent because as an analyst, you will be responsible for multiple accounts and processes and be responsible for the quality and efficiency of complex tasks.

Responsibilities:

• Research and resolve Chargeback claims.
• Provides support to team members.
• Assists with training projects.
• Ensure accurate and appropriate responses to disputes.
• Track job completion and manage deadlines.
• Analyze contracts and other documents, perform quality assurance checks on data, and communicate effectively both orally and in writing with a customer.
• Evaluates data by searching for trends and understanding the financial terms of the contracts.
• Validate appropriate data from internal and third-party systems and ensure appropriate course of action is being pursued.

Minimum Education, Experience, & Specialized Knowledge Required:

• Pharmacy Benefit Management
• Complies with contract requirements, business unit rules and related and legal regulations
• Bachelor Degree in finance, business, statistics, math or related area or equivalent work experience required (1-2 years).
• Membership and Eligibility determinations
• Managed Health Care
• Chargeback Adjudication
• Identifies, prioritizes and resolves issues independently, and escalates more complex questions or issues appropriately.
• Possess strong computer capabilities including word processing, spreadsheet and database entry. (Word, Excel, SQL)
• Experience with the following is preferred but not required:
• Prescription Rebate Processing
• Possess strong analytical, organizational and problem solving skills.
• Participates productively as a member of team and completes tasks beyond general support level.
• Possess strong inter-personal communication skills, both verbal and written.
• Ability to manage tasks and assignments without detailed direction.
• Medicaid Drug Rebate Program