Eligibility Analyst

<strong><i>"Outstanding people are the key to our success."</i><BR>Mike Ellis, CEO, Maxor National Pharmacy Services, LLC<BR><BR>Committed to the cost-effective delivery of impactful pharmacy and healthcare services to patients and clients, Maxor is an employee-driven organization where excellence is valued, recognized and rewarded. Talented and dedicated professionals like you continue to distinguish us as a national pharmacy and healthcare service provider like no other in the industry.</strong>

US-Remote

Maxor National Pharmacy Services Company

<p>At Maxor, we&rsquo;re transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies.</p> <p>We put People First and are committed to providing outstanding service across all aspects of our business. Our goal is to create Flexible and Innovative solutions filled with inspired possibilities.<br /><br />The innovative spirit at Maxor will transform the way you think about pharmacy &amp; healthcare services. As we pave the way in a relentless commitment to positive health outcomes, it&rsquo;s never been a better time to be part of the Maxor team!<br /><br /><strong>Maxor is an EOE, including disability/vets</strong></p> https://careers-maxor.icims.com/jobs/intro?hashed=-435589753

keywords: communicate,why choose maxor?,provide,research,education,experience,knowledge, skills, and abilities

Full Time

Overview: Maxor has an opportunity for an experienced Eligibility Analyst to join our growing pharmacy company. The Eligibility Analyst is responsible for loading and monitoring eligibility files, working directly with internal &amp; external customers to properly communicate and escalate file processing issues. Reporting to the Director of Eligibility and Accumulators the Eligibility Analyst will meet all service standards to ensure client satisfaction. <br /><br /><strong>Our Company</strong><br /><br />We're Maxor and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.<br /><br /><strong>Our Locations</strong><br /><br />The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices. This is a remote, home-based role.
Responsibilities: <ul> <li>Provide business support to clients and account management to ensure satisfaction with issue resolution.</li> <li>Monitor eligibility files, assist with providing information regarding business requirements, and performance of user acceptance testing.</li> <li>With a focus on quality and timeliness, maintain ownership for assigned work queue.</li> <li>Ensure quality, service level, productivity and customer standards are consistently met.</li> <li>Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing, advisory role to account management.</li> <li>Comply with Maxor&rsquo;s Ethical Business Conduct policy and Maxor&rsquo;s Compliance Program.</li> <li>Complete required training, as assigned, within the established timeframes.</li> <li>Must be able to cope with the mental and emotional stress of the position.</li> <li>Promote teamwork.</li> <li>Maintain regular attendance in accordance with established policies.</li> <li>Perform other job-related duties as assigned.</li> </ul>
Requirements: <strong>Education:</strong> Bachelor&rsquo;s Degree in business, health administration or related field required.<br /><br /><strong>Experience:</strong> Strong knowledge of eligibility or enrollment fundamentals, technology, health care, and PBM with a minimum of 2 years of relevant experience. Previous PBM Experience preferred.<br /><br /><strong>Knowledge, Skills, and Abilities:</strong><br /><br /> <ul> <li>2+ years of experience as an Eligibility or Enrollment Analyst or relevant PBM experience.</li> <li>Strong business acumen with healthcare and pharmacy benefit management industry knowledge preferred.</li> <li>Proven ability to serve as subject matter expert representing eligibility on file process for new and existing clients.</li> <li>Ability to influence others in a dynamic and matrixed environment.</li> <li>Ability to effectively collect and document customer requirements.</li> <li>A desire to develop processes and tools to more effectively manage operational tasks.</li> <li>Proven ability to effectively communicate.</li> <li>Proven ability to plan &amp; facilitate cross-functional meetings.</li> <li>Proven ability to develop effective working relationships with internal and external stakeholders.</li> <li>Able to complete projects by coordinating activities with cross functional partners.</li> </ul> <br /><strong>Why Choose Maxor?</strong><br /><br />We foster a culture that promotes teamwork; where employees are valued as the Company&rsquo;s best asset. We work hard, but we make sure to have fun along the way, too.<br /><br />We offer a competitive salary plus a great benefits package are available including: <br /><br /> <ul> <li>$750 individual, annual medical deductible</li> <li>$25 office visit copays</li> <li>Low biweekly premiums</li> <li>Company paid basic life/AD&amp;D, Short-term and Long-term disability insurance</li> <li>Rx, dental, vision, short-term disability, and FSA</li> <li>Employer-matched 401k Plan</li> <li>And more!</li> </ul> <br />The innovative spirit at Maxor will transform the way you think about pharmacy &amp; healthcare services. As we pave the way in a relentless commitment to positive health outcomes, it&rsquo;s never been a better time to be part of the Maxor team!<br /><br />Please apply online at: https://careers-maxor.icims.com/