Collaborate with Partner Relationship Manager to support the daily operations including issues, projects, and opportunities for the Third Party Administrator partners.
Lead audits and reconciliation efforts for both internal and external partners.
Ability to create ad hoc queries and reports to support issue resolution and partner needs.
Maintain platform configurations necessary for ongoing operations.
Communicate project status, escalating issues to leadership when appropriate.
Drive changes to improve workflow efficiency.
Participate in process and workflow documentation.
Serve as a mentor for new team members and a trainer for new processes.
Collaborate and provide support for member support and customer success teams.
Collaborate cross-functionally on system enhancements for workflow automation.
Become the subject matter expert for plan design configuration details.
Understand and facilitate account structure, eligibility, and accumulator requirements.
Validate system configurations for accuracy by monitoring inbound files from external partners.
Monitor ongoing Engineering operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, and reporting.
Support new partner integrations and client implementations.
Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross-functionally to resolve key issues that may arise.
Interface with technical resources of partners to surface issues and tracking outstanding work requests.
Requirements
Bachelor's degree or equivalent work experience preferred
4+ years of experience developing reporting or analytics in the healthcare and/or pharmacy space
Robust analytical skills; advanced skills in Microsoft Excel. (Macros, Micros, Pivot table, V lookup, H Lookup etc.)
Familiarity, with analytics and visualization tools required. Bonus points for experience with Looker, Datadog, Jira, Tableau, and/or Salesforce.
Familiar with basic SQL queries
Strong communication skills via face-to-face meetings, conference calls, and written correspondence
Self-starter mentality: ability to work independently to manage their time and assigned partners, make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
Execution-focused ethos
you are a solutions-oriented problem solver and efficiency driven
Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
Tech Stack
SQL
Tableau
Benefits
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Discretionary Paid Time Off
12 Paid Holidays
Wellness Benefits
Commuter Benefits
Paid Parental Leave benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities