PBM Operations Associate
Core
Support eligibility, accumulator, and claims extract file feeds and data for a pharmacy benefit management (PBM) model.
Role type
Operations Associate (Data Operations)
Builds
Eligibility, accumulator, and claims extract file feeds and interfaces
Domain
Healthcare / Pharmacy Benefit Management (PBM)
Required skills
Data operations, eligibility/accumulator/claims file feed experience, data discrepancy troubleshooting, Excel proficiency, stakeholder collaboration
Preferred skills
Healthcare operations experience, PBM or health plan background, analytical skills
Technologies
Excel
Responsibilities
Support execution of eligibility and accumulator file feeds and interfaces; support claims extract file feeds; monitor downstream vendor feeds and third-party integrations; perform research and troubleshoot data issues; maintain process documentation
Seniority
Mid-level (2-4 years experience)