Pharmacy Recovery Analyst

The role

You will manage the pharmacy claim recovery process on behalf of Machinify clients. This involves collaborating with payers to establish reconciliation processes and developing team reporting.

What you will do

• Collaborate with payers to establish and enhance reconciliation processes.
• Analyze outcomes to support the development of process improvements.
• Develop and generate team reporting.
• Develop and maintain process documentation.

Required qualifications

• Bachelor's degree or 2 - 3 years of directly applicable experience
• Excellent work ethic
• Strong analytical skills with experience organizing and summarizing data and preparing analysis and recommendations
• Critical thinking, creativity and problem-solving skills
• Ability to propose viable solutions
• Ability to work well on a team and individually
• Ability to plan and schedule activities to accomplish objectives in a dynamic environment
• Experience with MS Office Suit, specifically the use of Pivot Tables and V-Lookup
• Ability to write, edit and understand SQL Select Queries

Nice to have

• Experience with lean and Six Sigma process development concepts
• Experience in the pharmacy benefit management, health insurance, and/or accounts receivable management industries

Benefits

• PTO
• Paid Holidays
• Volunteer Days
• Eligibility for health, vision and dental coverage
• 401(k) plan participation with company match
• Flexible spending accounts
• Tuition Reimbursement
• Company-paid life insurance
• Company-paid short-term disability
• Company-paid parental leave

About the company

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. It uses an AI-powered platform to maximize financial outcomes and drive down healthcare costs.