Pharmacy Integration Administrator

Position Code: 356

Department:  Benefit Programming
Location: Little Rock, Arkansas
Immediate Supervisor:  Helen Tucker
Status: Non-Exempt
Posted: August 14 2017

Essential Functions of Job:

• Effectively research, analyze and resolve discrepancies for pharmacy claim submissions • Work directly with claim system vendor to implement a new PBM • Work directory with claim system vendors for changes to existing PBM files • Monitor PBM Inquiry email • Monitor and analyze daily Error Load Reports from multiple PBM vendors • Maintain PBM contact list • Store daily PBM files in appropriate folders • Prioritization of individual work flow associated with the case assignments • Establishing and maintaining professional rapport with internal and external customers • Maintaining and assuring accuracy of documentation. • Strong ability to identify appropriate resources for research and problem resolution • Ability to report to the office

Qualifications:

• High school diploma or equivalent • Effective organizational and prioritization skills • Excellent oral and written communication skills • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skill with ability to function as a positive team member • Strong mathematical background • PBM knowledge considered a plus • 2-3 years experience in processing medical claims preferred • 1-2 years experience in pharmacy integration preferred

 

The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.