PBM Vendor Partner Analyst

Scope of Responsibilities

• Work with new and existing partners in the development and administration of ProAct’s core business processes related to accumulators
• Work with a variety of TPA’s (Third Party Administrators), electronic transmissions of various file types, and reporting needs
• Partner with key internal/external technical and business teams and lead new vendor partner integrations
• Manage ongoing vendor partner relationships

Responsibilities

• Work with cross functional teams to systematically integrate and support new partners into standard accumulator business processes (for pharmacy and medical)
• Work with TPA and clients to define/maintain/troubleshoot file feeds and layouts based on specific application
• Partner with development to test custom programming related to processing and automating accumulator data
• Consult with internal teams on the end-to-end file transfer process, including planning, scheduling, and execution
• Collaborate with internal teams to understand file transfer requirements and implement appropriate solutions
• Troubleshoot and analyze data issues within raw data feeds and reports
• Test file exchange
• Create and maintain TPA profiles within the CRM
• Ensure NDA/BAA are in place prior to establishing a new data sharing arrangement with a vendor partner
• Perform other duties as assigned

Qualifications

• Bachelor’s degree preferred
• Relevant experience considered for exceptional candidates
• Experience as a Pharmacy Technician or related experience highly desirable
• 1-3 years of PBM experience in claims or insurance operations