Benefit Design and System Support Analyst
Company: Southern Scripts
Location: Natchitoches
Posted on: August 5, 2022
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Job Description:
Benefit Design and System Support Analyst - remote/work from
homeWe wanted a PBM that worked better--- so we created one.
Southern Scripts, the leading disruptor in the PBM industry,
simplifies the complexities of navigating through the Pharmacy
Benefit Manager world by offering a value-added approach to ensure
the employer absolute freedom, control, and choice to their health
plan structure without compromising patient experiences and
outcomes. We improve healthcare and reduce rising prescription
costs for employers and their employees. We are looking for
individuals who are passionate, strong, and committed to developing
systems and service solutions that promote our business goals and
commitments.Southern Scripts is searching for incredible talent! We
continue to experience accelerated growth in a rapidly changing
industry. There's never been a better time to join our team. We are
currently seeking a Benefit Design and System Support Analyst. This
is a fully remote/work from home position.Role and
ResponsibilitiesThe Benefit Design and System Support Analyst
provides Southern Scripts employees and customers with
comprehensive knowledge of the claim processing system. This
includes answering questions and assisting with problem
resolution.Manages tickets within a ticketing system; troubleshoots
and resolves tickets that are placed in the claims processing
queues in a timely manner. Adjudicates information on multiple
software platforms. Enforces procedures that are put in place by
the Benefit Design Supervisor, Director of Claims Processing, and
other Leadership. Identifies and corrects Benefit Design errors
within the claims processor based on client documentation. This may
include performing financial audits on the error(s) found and
determining impact for the client and/or Southern Scripts. Provides
and potentially presents audit findings to Account Management and,
on occasion, the Leadership team. Facilitates benefit designs for
new clients within the claims processor based off of
documentation.Communicates with the Implementation team to discuss
and/or ask questions regarding benefit designs for new
clients.Communicates with the EDI team to discuss and/or ask
questions regarding various data files.Communicates with the
Clinical team to discuss and/or ask questions regarding clinical
edits that are active for current clients.Works in conjunction with
the Clinical team to input information into the claims processor
and makes updates based on extensive testing to ensure the clinical
request is to appropriate specifications.Communicates with the
Account Management team to facilitate benefit design updates and
obtain appropriate documentation for current clients.Assists
Customer Service Representatives with troubleshooting and resolving
issues within our claims processor, when appropriate.Works in
conjunction with an external programming team to analyze and
resolve programming error(s) within our claims
processor.Participates in developing additional quality assurance
for internal processes.Plays an active role in evaluating quality
standards from an objective point of view and ensuring the proper
checks and balances are applied to all parts of the Claims
Processing procedures.Abides by all obligations under HIPAA related
to Protected Health Information (PHI).If a HIPAA violation is
discovered, whether individually or by another, reports the
violation to the Compliance Officer and/or Human Resources.Attends,
completes, and demonstrates competency in all required HIPAA
Training offered by the company.Flexibility to understand,
appreciate and embrace that the job description is not designed to
cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee. Duties,
responsibilities and activities may change or new ones may be
assigned at any time with or without notice.What We Have to
OfferOur benefits package is designed to keep our employees happy
and healthy - physically, mentally and financially. Servant
CultureMedical, Dental, Vision insuranceDisability and Life
insuranceEmployee Assistance ProgramRemote work optionsGenerous
Paid-Time OffAnnual Reviews and Development PlansRetirement Plan
with company match immediately 100% vestedRequired Skills and
CompetenciesOrganizationTime ManagementStrong Problem-Solving
SkillsStrong communication/collaboration skillsEasily adapt to and
learn new technology and skillsThoroughness Supervisory
ResponsibilityThis position has no supervisory responsibilities.
Position Type and Expected Hours of WorkThis is a full-time
salaried position. Days and hours of work are Monday through
Friday; 40+ hours a week, with occasional after-hours or weekend
duties. Position can be remote or onsite. TravelNo travel expected
for this position.Qualifications and Education
RequirementsAssociate or Bachelor's degree preferred.2 to 3 years'
previous experience working in PBM environment, health plan,
pharmacy chain, or managed care services organization in a Systems
or Plan Design capacity.Intermediate or advanced proficiency with
MS Excel, Word, PowerPoint, OutlookExcellent verbal and written
communication skills, establishing rapport and working with others.
Preferred QualificationsSQL experienceSouthern Scripts, LLC
provides equal employment opportunities (EEO) to all employees and
applicants for employment without regard to race, color, religion,
sex, national origin, age, disability or genetics. In addition to
federal law requirements, Southern Scripts complies with applicable
state and local laws governing nondiscrimination in employment in
every location in which the company has facilities. This policy
applies to all terms and conditions of employment, including
recruiting, hiring, placement, promotion, termination, layoff,
recall, transfer, leaves of absence, compensation and
training.Southern Scripts expressly prohibits any form of workplace
harassment based on race, color, religion, gender, sexual
orientation, gender identity or expression, national origin, age,
genetic information, disability, or veteran status. Improper
interference with the ability of Southern Scripts employees to
perform their job duties may result in discipline up to and
including discharge. EOE M/F/V/D PI187757431
Keywords: Southern Scripts, Shreveport , Benefit Design and System Support Analyst, Professions , Natchitoches, Louisiana
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