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

Role Description

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

• Providing technical and administrative support.
• Serving as a liaison to Vendor contacts regarding plan benefits and policy issues.
• Reviewing, identifying, and analyzing policies, procedures, and contract issues impacting departmental and Plan-wide functions.
• Preparing recommendations on issues, including root cause, action steps, and monthly reports.
• Ensuring compliance with organizational and regulatory requirements.
• Handling inquiries related to enrollment, billing, benefits, and claims for various coverage types.

Qualifications

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

Requirements

• 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.
• Analytical, organizational, and problem-solving skills.
• Familiarity with Microsoft Office (Word, Excel, etc.) and other department-required hardware.
• Knowledge of benefit programs administered by Capital BlueCross.
• Knowledge of health plan administration processing systems.
• Knowledge of ERISA, Act 68, and HIPAA quality and timeliness guidelines.

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.”

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. You will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education.