FreshRemote.Work

Implementation file support analyst- Remote

Appleton, WI, US | Remote, US

Epiphany Rx Powered by Navitus

Putting People First in Pharmacy- Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models.  We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth.  We welcome new ideas and share a passion for excellent service to our customers and each other.  

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

The Fire Extract Analyst, Client Operations position is a highly motivated professional with at least 3 years of successful vendor management. This role will interface with brokers, consultants, and clients to manage projects that could include but is not limited to transitioning clients to EpiphanyRx from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building deep relationships with EpiphanyRx vendors and their clients so they learn to trust us and have confidence that their needs will be successfully met as seamlessly as possible. This role must have strong relationship skills to work with internal and external partners including subject matter experts across both Navitus and ERx,. which will be key to successful vendor relationships. Excellent communication skills are necessary to ensure that all team members are kept well informed of the requirements, any changes, progress status and any potential issues. This position will additionally be responsible for supporting other client projects as needed and contribute towards team goals.

Is this you?  Find out more below!

How do I make an impact on my team?  

  • Requests historical files from advisor or client, and reviews layout as needed.
  • Determine system hierarchy requirements and build in CRM.
  • Coordinate claims extracts with all vendors (TPA, stop loss, advisor).
  • Coordinate ID card from TPA for approval.
  • Validate eligibility files and extracts post go live.
  • The VMCO is the conduit to the Navitus eligibility and claims extract teams
  • Manage data sharing policies and Non-Disclosure Agreements with vendors. 
  • Submit data and service requests, and ongoing monitoring to ensure accurate, timely completion.
  • Support other client related projects that require program management services. Act as intermediary between vendors, ERx clients, and internal partners. Serve as a project lead as needed.
  • Troubleshooting any vendor issues to ensure quick resolution, including support of the account teams in helping to facilitate resolution of escalated file issues.
  • Suggesting and implement new vendor management processes, policies, and methods as needed.
  • Identifying and researching expansion opportunities, in addition to the growing the client base with existing consultant/broker/TPA relationships.

What our team expects from you? 

  •  Bachelor's degree in business, marketing, or related area preferred
  • Knowledge of PBM or health care industry preferred
  • Prefer at least 3 years of vendor management (TPA’s, Consultants, Brokers, etc.), and working with external clients
  • PC skills such as Microsoft Office, Email, etc.
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Lumicera?

  • Hours/Location: Monday - Friday 8:00am-5:00pm, CST-Remote
  • Paid Volunteer Hours
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!
  • Top of the industry benefits for Health, Dental, and Vision insurance, Flexible Spending Account, Paid Time Off, Nine paid holidays, 401K, Short-term and Long-term disability, College Savings Plan, Paid Parental Leave, Adoption Assistance Program, and Employee Assistance Program

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Job Profile

Regions

North America

Countries

United States

Benefits/Perks

Adoption Assistance Adoption Assistance Program College Savings Plan Educational Assistance Educational Assistance Plan Employee Assistance Program Flexible Spending Flexible Spending Account Nine paid holidays Paid holidays Paid parental leave Paid Time Off Paid Volunteer Hours Professional Membership assistance Referral Bonus Referral Bonus Program Remote work Top of the industry benefits for Health, Dental, and Vision

Skills

Communication Compliance CRM Eligibility Implementation Marketing Microsoft Office PC Pharmacy Project Management Troubleshooting Vendor Management

Tasks
  • Act as intermediary between vendors and clients
  • Coordinate claims extracts with vendors
  • Determine system hierarchy requirements
  • Identify expansion opportunities
  • Implement new vendor management processes
  • Manage data sharing policies
  • Request historical files
  • Submit data and service requests
  • Support client projects
  • Troubleshoot vendor issues
  • Validate eligibility files
Experience

3 years

Education

Bachelor's Bachelor's degree Bachelor's degree in Business Business College Marketing Operations Pharmacy Related area

Restrictions

Hawaii Maine Mississippi New Hampshire New Mexico North Dakota Not available for residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, Wyoming Residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming Rhode Island South Carolina South Dakota Unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming West Virginia Wyoming

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9