Network Pricing Operations Analyst - Remote

Title: Network Pricing Operations Analyst - Remote

Mandatory skills:

healthcare,
PBM, claims, claims auditing, audit fundamentals,
data analysis,
prepare, catalog, electronically store information,
QA, QC,
MS Office Suite, Excel, Outlook, Teams, Word

Description:

Must be well organized and able to accurately prepare, catalog and electronically store information. Strong communication skills, QA/QC experience

This assignment is to provide operational project support to assess different information inputs (moderate to complex data) that will be used in various pricing initiatives. The role will aggregate the data based on defined requirements to a single output for consumption by other areas in the organization. Strict attention to detail is essential to the role the final results could be subject to future audits.

The candidate will use (but not all-inclusive) MS Office Suite (Excel, Outlook, Teams, and Word).

Other potential project initiatives include (but not limited to) reconciliation of project data.

Demonstrably strong communication skills are required.

Potential overtime may be required late in the year for seasonal high volume workflow. This role requires a safe and clean work area, and needs to be secure from the general public to maintain confidentiality in accordance with corporate client policies (including HIPAA). Maintaining active phone service for professional business use is required for the role. Functional, high speed internet service for remote VPN access is required and the candidate must be able to direct-connect via Ethernet cable to their internet modem or router in order for our internal databases to work correctly and efficiently.

Experience:
Prior healthcare experience preferred.
Working in a PBM environment or equivalent, claims experience or claims auditing background a plus.
Demonstrable experience in data analysis is key; excellent verbal and written communication skills.
Experience in project participation in moderate to complex projects is preferred. Having worked in a fast paced, volume driven environment is also preferred. Exhibition of compliance and audit fundamentals preferred.

Education:
Verifiable High School Diploma or GED is required. Bachelors degree in finance, accounting or business is preferred, not required

VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.

Contact Details :

VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008