[Hiring] Client Services Pharmacy Support Analyst @Capital Blue Cross

Role Description

The CS Client Services Support Analyst is responsible for conducting research and providing problem-solving support to the Customer Service Department, Brokers, and Sales serving the Small, Large, and Major Market Groups as well as our Individual Account plans.

• Provide technical and administrative support.
• Serve as a liaison to Vendor contacts regarding plan benefits and policy issues.
• Review, identify, and analyze policies, procedures, and contract issues impacting departmental and/or Plan-wide functions/operations.
• Prepare recommendations on issues including root cause, action steps, and monthly reports.
• Ensure compliance with organizational and regulatory requirements.
• Handle inquiries related to enrollment, billing, benefits, and claims for various coverage types.
• Knowledge of Medicare, PPACA, Healthy PA, CHIP, and other programs administered by Capital BlueCross and Avalon.

Qualifications

• 3 years customer service or correspondence experience or experience/training in a writing-intensive role is required.
• Experience with customer interaction preferred.

Requirements

• Demonstrates ability to communicate effectively and professionally both verbally and in writing.
• Ability to understand and interpret detailed policies and procedures.
• Ability to work independently and react appropriately to changing job assignments.
• Demonstrates analytical, organizational, and problem-solving skills.
• Familiar with operating a PC and associated software (Microsoft Word, Excel, etc.).
• Demonstrated competency in Windows, SharePoint, and Sales Force.
• Above average reading, writing, and arithmetic skills required.

Benefits

• Comprehensive benefits package including Medical, Dental & Vision coverage.
• Retirement Plan.
• Generous time off including Paid Time Off, Holidays, and Volunteer time off.
• Incentive Plan.
• Tuition Reimbursement.

Company Description

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”