BrightSpring Health Services

PLAN ANALYST

Job Locations US-KY-LOUISVILLE
ID
2021-38106
Position Type
Full-Time
Line of Business
PharMerica

Our Company

PharMerica

PharMerica Logo_1250x667

Overview

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide.  If your passion is service excellence and top-quality care come join our team and apply today!

Responsibilities

  • Set-up and maintain client pricing and pharmacy coverage parameters in the pharmacy practice systems
  • Have extensive knowledge of RxExact and able to set up complex edits
  • Conduct research and provide information to internal partners on client pricing and coverage set-up
  • Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or quality assurance testing and recommends appropriate plan set-up changes and/or system modifications when required
  • Analyze the client request and determine the best operational approach and perform set-up
  • Conduct research and provide information to internal partners on client pricing, coverage set up and product file questions
  • Provide consultation and expertise to internal partners
  • Able to participate and/or take the lead in special projects
  • Performs other tasks as assigned

Qualifications

Education/Learning Experience:

  • Required:  Bachelors’ degree

Work Experience:

  • Required:  Three+ years corporate experience
  • Desired:  Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience

Skills/Knowledge:

  • Required:  Ability to work with a high degree of accuracy and attention to detail.  Strong interpersonal skills to work effectively with internal customers.  Microsoft office products
  • Desired:  Knowledge of claims processing system or pharmacy practice system

Behavior Competencies:

  • Required:  Strong analytical and critical thinking skills
  • Desired:  Advanced Excel and/or data knowledge

About our Line of Business

PharMerica is a full-service pharmacy solution providing value beyond medication.  PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.  PharMerica is one of the nation's largest pharmacy companies.  PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades.  For more information about PharMerica, please visit www.pharmerica.com.  Follow us on FacebookTwitter, and LinkedIn.

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