Remote PBM Operations Analyst & Data Integration

VytlOne; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

VytlOne is seeking an Operations Analyst to implement, support, and maintain client and TPA EDI processing. The role ensures data parity across the PBM platform and client systems, monitoring jobs and resolving data exceptions. Reporting to the Sr.

Manager of Client Integration, you will meet service standards for client satisfaction. The position is remote within the Continental US, with a focus on PBM operations, eligibility processing and data integrity across healthcare platforms.

Qualifications

• 2+ years of experience in PBM operations or related field.
• Experience with claims processing and eligibility/accumulator processing.
• Experience with client integrations and health plan/TPA operations.
• Strong analytical, written and verbal communication skills.

Responsibilities

• Process and support daily/weekly client batch updates with account managers and clients.
• Research and resolve data issues, troubleshoot integrations and quality problems.
• Demonstrate knowledge of PBM platform, file integration standards and client configurations.
• Maintain data integrity across systems and ensure service levels are met.
• Collaborate with internal/external partners to resolve issues.

Skills

Analytical aptitude

Communication skills

Multi-tasking

MS Office proficiency

PBM/EDI knowledge

Education

High School Diploma/G.E.D.

Associate's degree or equivalent

Tools

Windows OS

MS Office (Excel/Access/Word/Outlook)

Job description

VytlOne is seeking an Operations Analyst to implement, support, and maintain client and TPA EDI processing. The role ensures data parity across the PBM platform and client systems, monitoring jobs and resolving data exceptions. Reporting to the Sr.

Manager of Client Integration, you will meet service standards for client satisfaction. The position is remote within the Continental US, with a focus on PBM operations, eligibility processing and data integrity across healthcare platforms.