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Sr. Analyst
Pharmacy Operations
Posted on 3/16/2023
Experience Level
Desired Skills
Customer Service
  • Ten (10) years of professional experience in Pharmacy at a health plan or PBM
  • Five (5) years of experience in triaging and resolving inquiries associated with claims and benefits
  • Five (5) years of experience with Medicare
  • Five (5) years of project management/relationship management experience required, preferably in the pharmacy or healthcare industry preferred
  • 100% team player and ability to collaborate effectively with others to achieve common goals
  • Able to multi-task, set priorities, and demonstrate strong organization and problem-solving skills
  • Comfortable following timeline-driven work plans and managing multiple projects; thrive in collaborative environments
  • Self-starter that can develop and execute a plan to address ambiguous situations or ones with limited direction
  • Familiarity with Excel and PowerPoint skills to create organized and actionable representations with minimal guidance
  • Exceptional attention to detail
  • Excellent customer service and communication skills
  • Excellent written and verbal communication skills; ability to provide clear and concise information to senior leaders
  • Enhance and execute the coordination of the benefits process for the recoupment of costs associated with all applicable claims
  • Develop a robust tracking tool around recoupment with the ability to report to senior leadership
  • Intake, manage, and resolve inquiries, issues, and audits that may come from members, stakeholders, states, CMS, and/or any other channel
  • Contribute to the preparation of dashboards and reports that will be used for oversight, management, and leadership reporting
  • Support the management of project plans, meeting minutes, and any applicable work files for PBM, internal stakeholders, or external vendor initiatives
  • Draft and maintain administrative pharmacy policies related to core job responsibilities
  • Collaboratively work with both clinical and non-clinical areas within Bright
Bright Health

1,001-5,000 employees

Affordable personalized health insurance
Company Overview
Bright Health's mission is to make healthcare right. They believe quality health insurance should be simple, personal, and affordable. So they design easy-to-understand plans with benefits you'll actually use. Benefit-packed plans and surprisingly low rates mean you can focus on staying happy and healthy.
  • Compensation and retirement - Performance bonus, Stock Options, 401k plan, 401k matching, Commuter assistance plans
  • Health and wellness - Health insurance, Dental insurance, Vision insurance, Life insurance, Disability insurance, FSA (Flexible Spending Plan), EAP (Employee Assistance Program)
  • Vacation and time off - Unlimited time off, Paid holidays, Flexible working hours, Maternity benefits, Paternity benefits
  • Values and quality of life - Public Transportation, Bike parking, Employee groups and committees, Snacks and beverages
Company Core Values
  • Be brave - Challenge the status quo with curiosity, courage, and tenacity
  • Be brilliant - Deliver predictable excellence with a learning mindset
  • Be accountable - Live by your word, always
  • Be inclusive - Value all voices and contributions to achieve big things
  • Be collaborative - Fearlessly partner with all people