[Hiring] Senior Operations Analyst @VytlOne

Role Description

The Sr. Operations Analyst is responsible for the implementation of new clients and support ongoing maintenance of client and third-party administrator (TPA) electronic data interchange (EDI) processing. The senior analyst serves as a subject matter expert and leads complex integration setup projects within operations. These integrations utilize systems and applications for loading batch files, monitoring automated jobs, identifying file/data issues and resolving data exceptions. These processes keep medical coverage eligibility, member demographics, and claim/deductible balance accumulators in sync between VytlOne’s PBM platform and our client’s systems. Reporting to the Sr. Manager, Client Integration, the Sr. Operations Analyst will meet all service standards to ensure client satisfaction.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• 5+ years of progressive experience in:
  • PBM operations
  • Claims processing
  • Eligibility / accumulator processing
  • Client integrations
  • Health plan or TPA operations
  • Data operations / reporting

Requirements

• 5+ years of experience as an operations analyst and/or relevant pharmacy benefit management (PBM) experience
• Proven ability to serve as subject matter expert (SME) on file integration processes for new and existing clients utilizing VytlOne’s systems/applications and best practices
• Proven ability to lead complex client integrations, data conversions and perform data reconciliation across systems and counterparties
• Knowledge of electronic file exchange (EDI), databases management systems (DBMS), data manipulation and analysis
• Advanced knowledge of client operations for pharmacy benefit management (PBM) integrations and capable of learning new applications/processes
• A desire to problem solve, think critically, analyze and interpret data
• A desire to develop processes and tools to more effectively manage operational tasks
• Ability to research issues and collaborate with internal/external partners through resolution
• Ability to effectively collect and document customer requirements and knowledge share
• Strong organization skills with the ability to multi-task
• Excellent verbal and written communication skills
• Advanced knowledge of personal computers, including Windows Operating Systems, MS Office (Excel, MS Access, Word, Outlook), MS SQL Server Management Studios (or other SQL querying language)
• Familiarity using AI-enabled tools for business analysis, such as data interpretation, documentation, or operational insights

Benefits

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!