Plan Administrative Analyst

Res-Care, Inc.•Louisville, KY

43d•$27•Hybrid

About The Position

PharMerica is a national leader in pharmacy services with over 30 years of experience, serving our partners in long-term care, senior living, IDD/behavioral health, home infusion, specialty pharmacy, and hospital management programs. The Plan Administrative Analyst establishes and sets up pricing and plan parameters in the pharmacy practice systems to support PharMerica client contracts and 3rd party plans. Responsible for the client pricing implementation process and pricing changes, resolving client issues, working in LTC400 and RxExact pharmacy systems for standard and complex plan designs. May work with formularies, the product file, and/or IV setups. The ideal candidate will have Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience This is a HYBRID opportunity, work from home as well as the Corporate office in Louiseville, KY Schedule: Monday - Friday, 8:30am - 5:00pm We offer:Competitive payHealth, dental, vision and life insurance benefitsCompany paid STD and LTDEmployee Discount Program401kPaid-time offTuition reimbursementNon-retail/Closed-door environment If your passion is service excellence and top-quality care come join our team and apply today! Position will be posted for a minimum of 5 business days.

Requirements

Bachelor's degree
Three or more years corporate experience
Ability to work with a high degree of accuracy and attention to detail
Strong interpersonal skills to work effectively with internal customers Microsoft office products
Knowledge of claims processing system or pharmacy practice system desired
Strong analytical and critical thinking skills
Advanced Excel and/or data knowledge

Nice To Haves

Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience preferred

Responsibilities

Maintains client pricing and pharmacy coverage parameters in the pharmacy practice systems
Conducts research and provide information to internal partners on client pricing and coverage set-up
Ensures accurate claim processing by correcting and communicating discrepancies found in set-up and/or quality assurance testing and recommends appropriate plan set-up changes and/or system modifications when required
Analyzes the client request and determine the best operational approach and perform set-up
Conducts research and provide information to internal partners on client pricing, coverage set up and product file questions
Provides consultation and expertise to internal partners
Participates and/or takes the lead in special projects
Performs other tasks as assigned
Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards