PBM Client Facing Analyst

Genesis10 is currently seeking a PBM Client-Facing Analyst for our client in the healthcare industry. This is a 10-month project with a possible extension. This is a 100% remote position. This person should have experience in Accumulators, Benefits, Prior Authorization, Claims, and Eligibility. Qualified candidates will also have experience with file configuration.

Compensation: $85.00 - 90.00 per hour (W2), depending on skill and experience level.

Summary:
The PBM Client Facing Analyst serves as a business system or business process subject matter expert with a high level of understanding of their assigned area. This position will represent their area of expertise with regard to business system knowledge on internal and client projects, regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training, testing, ongoing system support, and developing reports and coordinating audits.

Responsibilities:

• Represents assigned business system or business process as a subject matter expert in business requirements, system specifications, process flows, process change and/or project management
• Provides leadership to the business in the identification and adoption of operational best practices and standard operating procedures as it relates to assigned business system or business process
• Independently researches, determines root cause and collaborates with others to resolve complex business and technical issues and customer inquiries.
• Provides prompt and thorough resolution for client and/or member satisfaction
• May facilitate testing for new or improved systems or processes including creation of a test plan, identifying test cases, and performing or leading User Acceptance and Joint Cycle Testing
• May provide guidance, mentoring, and work direction to others on the team
• Other duties as assigned

Qualifications:

• Bachelor's degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 5 years of work experience in business analysis, project management, and/or process improvement to include:
• 3 years of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, accumlators, prior authorization, benefits)
• Experience with file configuration for one of the functional areas listed above
• Must be eligible to work in the United States without need for work visa or residency sponsorship
• Proven client service skills with a track record for building strong client relation- experience interfacing with clients to create file documentation
• Prior Client Implementation experience
• Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical
• Previous PBM or healthcare experience

We have access to additional contract, contract-to-hire, and direct hire positions with various rate ranges.

If you have the described qualifications and are interested in this exciting opportunity, apply today!

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and
employees to work across the United States every year-in contract, contract-for-hire, and permanent placement roles. With more than 300
active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum
of industry verticals.

Benefits of Working with Genesis10:
Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years.
The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for
years.
Access to an experienced, caring recruiting team (more than 7 years of experience, on average.)
Medical, Dental, Vision
Health Savings Account
Voluntary Hospital Indemnity (Critical Illness & Accident)
Voluntary Term Life Insurance
401K
Sick Pay (for applicable states/municipalities)
Commuter Benefits (Dallas, NYC, SF, and Illinois)
Remote opportunities available

For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at our website.

Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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