[Remote] Operations Analyst
Note: The job is a remote job and is open to candidates in USA. VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner, focused on improving healthcare outcomes. The Operations Analyst is responsible for implementing and supporting electronic data interchange (EDI) processing, ensuring client satisfaction through effective data management and integration.ResponsibilitiesProcess and support daily/weekly client batch file updates working directly with account managers, implementation teams and clientsConduct member and file research, file processing, manual updates, data analysis, troubleshoot and resolve integration and data quality issuesDemonstrate knowledge of VytlOne’s PBM platform, application, file integration functions/standards and client specific configurationsDemonstrate knowledge of pharmacy benefit administration, coverage eligibility, claim/deductible accumulators, and setup/configuration within VytlOne’s systemsHandle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently metComply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance ProgramComplete required training, as assigned, within the established timeframesMust demonstrate resilience and professionalism when handling complex, time‑sensitive responsibilitiesPromote teamwork and best practicesMaintain regular attendance in accordance with established policiesPerform other job-related duties as assignedSkillsHigh School Diploma/G.E.D. requiredAssociate's degree or equivalent combination of education and experience2+ years of progressive experience in PBM operations2+ years of progressive experience in Claims processing2+ years of progressive experience in Eligibility / accumulator processing2+ years of progressive experience in Client integrations2+ years of progressive experience in Health plan or TPA operations2+ years of progressive experience in Data operations / reportingProven analytical, communication and organizational skills2+ years of experience as an operations analyst and/or relevant pharmacy benefit management (PBM) experienceStrong organization skills with the ability to multi-taskExcellent verbal and written communication skillsAdvanced knowledge of personal computers, including Windows Operating Systems, MS Office (Excel, MS Access, Word, Outlook)Capable of learning new applications/processes supporting client operations for pharmacy benefit management (PBM) systemsPossess analytical aptitude and problem solving skillsA desire to develop processes and tools to more effectively manage operational tasksAbility to research issues and collaborate with internal/external partners though resolutionAbility to effectively collect and document customer requirements and knowledge shareKnowledge of electronic file exchange (EDI) filesBenefitsComprehensive mental health and wellbeing resourcesNationwide 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 premiumsCompany-paid basic life/AD&D, short-term and long-term disability insuranceRx, dental, vision, other voluntary benefits, and FSAEmployer-matched 401k PlanIndustry-leading PTO planCompany OverviewVytlOne is a pharma company that provides pharmacy-benefit management with specialty pharmacy services to support health systems. It was founded in 1926, and is headquartered in Plano, Texas, USA, with a workforce of 1001-5000 employees. Its website is https://www.vytlone.com.