Senior Analyst, Finance Operations - Pharmacy Claims

This Sr. Analyst will support the Metro Medical Pharmacy Claims & Reconciliations. Open to remote candidates in Tennessee and Ohio!

What Finance Operations contributes to Cardinal Health

Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets.

Finance Operations is responsible for the oversight and overall performance of the following core financial processes. This includes pricing administration, rebates, cash application, chargebacks, billing, accounts payable and employee travel & expense.

Responsibilities

• Provider Payment Reconciliation: This involves comparing financial records with bank or payment provider statements to ensure that the accounting is accurate. It includes verifying and reconciling payments made for services rendered to policyholders, identifying errors or overpayments.
• Claims Reconciliation: This involves comparing claims submitted to insurance companies with the payments received. It ensures that all claims are accurately processed and paid.
• Subject Matter Expert for Recon Plus and CPR+ (Pharmacy ERG)
• Detailed oriented and the ability to resolve complex reconciliation issues within the Pharmacy ERP system and payments received rom the Providers
• AR Aging reconciliation and the ability to identify issues and able to recommend a resolution.
• Clean up Project - AR Aging Research with the Payment Providers.

Qualifications

• 2+ years of pharmacy insurance claims and reconciliation experience, preferred
• Bachelor's degree in related field, or equivalent work experience, preferred

What is expected of you and others at this level

• Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
• Works on projects of moderate scope and complexity
• Identifies possible solutions to a variety of technical problems and takes action to resolve
• Applies judgment within defined parameters
• Receives general guidance and may receive more detailed instruction on new projects
• Work reviewed for sound reasoning and accuracy

Anticipated salary range: $56,200-$80,400 

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Application window anticipated to close: 05/11/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

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Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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