Senior PBM Integrations Analyst (Remote)

VytlOne; United States; Remote; USD 65,000 - 95,000; Full time

Benefits offered by this job

Mental health resources

BCBS PPO health plan

Life/AD&D insurance

401k plan

Generous PTO

Job summary

VytlOne is seeking a Sr. Operations Analyst to implement new clients and maintain EDI processing between VytlOne's PBM platform and client systems.

This remote-based role requires leading complex integrations, data conversions, and data reconciliation across systems while maintaining service standards. You will work with cross-functional teams to load batch files, monitor automated jobs, and resolve data issues, ensuring accurate eligibility, demographics, and claim/deductible balance

Qualifications

• 5+ years of experience in operations PBM/related fields.
• Experience as SME on file integration processes for new and existing clients.
• Ability to lead complex client integrations and data reconciliation across systems.

Responsibilities

• Process daily/weekly batch file updates with account managers and implementation teams.
• Research member and file data, perform data analysis, troubleshoot and resolve integration issues.
• Demonstrate SME knowledge of VytlOne's PBM platform and file integration standards.
• Ensure quality, service levels, and adherence to customer standards.

Skills

EDI processing

Data reconciliation

SQL querying

PBM operations

Client integrations

Data analysis

Education

Bachelor's degree or equivalent

Tools

MS SQL Server Management Studio

AI-enabled tools

Job description

VytlOne is seeking a Sr. Operations Analyst to implement new clients and maintain EDI processing between VytlOne's PBM platform and client systems.

This remote-based role requires leading complex integrations, data conversions, and data reconciliation across systems while maintaining service standards. You will work with cross-functional teams to load batch files, monitor automated jobs, and resolve data issues, ensuring accurate eligibility, demographics, and claim/deductible balance