[Remote] Sr. Operations Analyst

Remote Full-time
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. The Sr. Operations Analyst is responsible for implementing new clients and supporting ongoing maintenance of client and third-party administrator electronic data interchange processing, while serving as a subject matter expert in complex integration setup projects.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 subject matter expert 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 Maxor’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 policiesSkills5+ years of experience as an operations analyst and/or relevant pharmacy benefit management (PBM) experienceProven ability to serve as subject matter expert (SME) on file integration processes for new and existing clients utilizing VytlOne's systems/applications and best practicesProven ability to lead complex client integrations, data conversions and perform data reconciliation across systems and counterpartiesKnowledge of electronic file exchange (EDI), databases management systems (DBMS) data manipulation and analysisAdvanced knowledge of client operations for pharmacy benefit management (PBM) integrations and capable of learning new applications/processesA desire to problem solve, think critically, analyze and interpret dataA 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 shareStrong organization skills with the ability to multi-taskExcellent verbal and written communication skillsAdvanced knowledge of personal computers, including Windows Operating SystemsMS 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 insightsEducation: Bachelor's degree or equivalent combination of education and experience5+ years of progressive experience in: PBM operations, Claims processing, Eligibility / accumulator processing, Client integrations, Health plan or TPA operations, Data operations / reportingProcess 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 subject matter expert 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 Maxor'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 policiesBenefitsComprehensive 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.

Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Experienced Customer Service Representative – Remote Work Opportunity with blithequark**

Remote

Merchandiser

Remote

Grant Specialist I (Remote) - Department of Medicine

Remote

Tele-Psychiatry Opportunity Nation Wide earning 600k+ salary

Remote

**Experienced Full Stack Remote Chat Support Specialist – Public Relations and Digital Strategy**

Remote

Recruiter (Contract) - Remote

Remote

Experienced Full Stack Customer Service Agent – Turkish Speaking – 100% Home Office

Remote

Legal Editor - Employment Law - Full-time / Part-time

Remote

Veterinary Client Care and Pharmacy Specialist

Remote

Medical Transcriptionist Knoxville TN

Remote
← Back