Dept Specialist II - Third-Party Host Administrator

Albertsons Companies; Boise (ID); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive wages paid weekly

Early wage access up to 50%

Associate discounts

Health and 401k benefits

Paid time off (vacation/holidays/sick)

Career growth and development

Inclusive work environment

Job summary

Albertsons Companies is seeking a Third-Party Host Administrator to maintain the third-party billing setup in the EPS system, enabling pharmacies to transmit compliant claims and support managed care goals.

You will collaborate with the Managed Care team and other departments to ensure data accuracy, compliance with HIPAA and NCPDP standards, and smooth reimbursement operations.

Qualifications

• Experience in managed care and third-party billing.
• Proficiency with EPS pharmacy systems software.
• Knowledge of Linux operating systems.

Responsibilities

• Maintain third-party billing setup in EPS to transmit compliant claims.
• Assist Managed Care Managers to improve cost containment and compliance.
• Provide Level II pharmacy systems support and act as escalation resource.

Skills

Pharmacy exp

Managed care billing

Communication

Tools

EPS software

Linux OS

Microsoft Office

Job description

Why choose us?

Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand! At Albertsons Companies, we are looking for someone who's not just seeking a job, but someone who wants to make an impact. In this role, you'll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that's constantly evolving.

Main responsibilities:

• The Third-Party Host Administrator is responsible for maintaining the Third-Party billing setup in the EPS software system which enables pharmacies to transmit compliant claims. They will assist the Managed Care Manager(s) in improving cost containment policies and compliance goals.
• Input and maintain third party plan data elements within the EPS software system, ensuring compliance with HIPAA and National Council for Prescription Drug Programs (NCPDP) standards.
• Provide Level II pharmacy systems support by troubleshooting third party billing issues and serving as an escalation resource for help desk agents.
• Perform User Acceptance Testing (UAT) and regression testing for EPS software enhancements, updates, and defect resolutions.
• Communicate with pharmacies regarding third party billing requirements, claim adjudication issues, and implementation updates through email and internal ticketing systems.
• Collaborate with the Managed Care team to ensure host third party records are current, accurate, and properly distributed to stores.
• Support EPS software enhancement initiatives that improve reimbursement accuracy, cost containment strategies, and compliance objectives.
• Coordinate with IT Service Desk, Accounts Receivable, Pharmacy Operations, and Pharmacy Benefit Managers (PBMs) to maintain continuity of third party billing operations and reimbursement performance.
• Compile and provide third party claim data and operational reporting to support business analysis and departmental initiatives.
• Document troubleshooting procedures, system configurations, and business processes to support operational consistency and knowledge sharing.
• Identify and elevate recurring system, billing, or configuration issues to senior team members for resolution.
• Reviews reports and collaborates with the external vendor, LexisNexis, to ensure prescriber profiles are updated accurately and appropriately.

We are looking for candidates who possess the following:

• Preferred pharmacy experience including managed care and third-party billing
• Preferred knowledge of EPS pharmacy systems software
• Knowledge of Linux system operating systems
• Knowledge of Pharmacy Benefit Managers.
• Knowledge of NCPDP Standards and Federal & State legislation affecting pharmacy trends.
• Proficiency in Microsoft Office (Outlook, Excel, Word, Access).
• Excellent written and oral communication skills.
• Outstanding customer services skills
• Problem solver
• Ability to multi-task with strong attention to detail.
• Self-starter, able to work with minimum supervision.

Physical Environment:

• Most work is performed in a temperature-controlled office environment.
• Ability to sit for long periods at desk or computer.
• Will use calculators, keyboards, telephone, and other office equipment.
• Stooping, bending, twisting, and reaching may be required in completion of job duties.

We also provide a variety of benefits including:

• Competitive wages paid weekly
• Access to up to 50% of your earned wages before payday, via our partnership with Stream
• Associate discounts
• Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
• Time off (vacation, holidays, sick pay). For eligibility requirements please visit myACI Benefits
• Leaders invested in your training, career growth and development
• An inclusive work environment with talented colleagues who reflect the communities we serve

Our Values - ACI Values

A copy of the full job description can be made available to you.