Senior Third-Party Billing & Pharmacy Systems Admin

Albertsons Companies; Boise (ID); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

competitive wages

wage advance program

associate discounts

health & wellness benefits

paid time off

training & development

inclusive environment

Job summary

Albertsons Companies is seeking a Third-Party Host Administrator to maintain third-party billing in the EPS software, enabling compliant claims and revenue optimization. You’ll support Managed Care policy goals and partner across Pharmacy Ops, IT, and Accounts Receivable.

Ideal candidates have pharmacy managed care and third-party billing experience, familiarity with EPS systems, and strong communications skills to drive compliance and efficiency.

Qualifications

• Preferred pharmacy experience including managed care and third-party billing.
• Preferred knowledge of EPS pharmacy systems software.
• Preferred knowledge of Linux system operating systems.
• Knowledge of Pharmacy Benefit Managers (PBMs).
• 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.
• Strong customer service skills and problem solving ability.
• Ability to multi-task with high attention to detail.
• Self-starter with minimal supervision.

Responsibilities

• Configure, maintain, audit, and optimize third party plan records and adjudication parameters in the EPS system while ensuring HIPAA and NCPDP compliance.
• Provide Level III pharmacy systems support for complex third party billing and configuration issues.
• Lead User Acceptance Testing (UAT), regression testing, and validation for system enhancements and third party implementations.
• Serve as SME for third party plan configuration, reimbursement processes, and pharmacy systems functionality.
• Analyze reimbursement trends and adjudication outcomes to identify revenue optimization and compliance improvements.
• Develop, maintain, and automate reports and dashboards supporting reimbursement strategies and performance monitoring.
• Collaborate with Managed Care, Pharmacy Operations, IT, Accounts Receivable, and PBMs to improve reimbursement performance.
• Lead audits of third party plan records and drive corrective actions to improve data integrity.
• Evaluate and support EPS system enhancements, process improvements, and automation opportunities.
• Mentor DSII team members on third party setup, testing methodologies, and best practices.
• Develop business requirements, process docs, and testing strategies for new programs and system enhancements.
• Act as departmental lead for complex projects and cross-functional initiatives.

Skills

EPS systems knowledge

Linux

NCPDP Standards

Microsoft Office

Communication

Detail-oriented

Tools

EPS pharmacy software

Job description

Albertsons Companies is seeking a Third-Party Host Administrator to maintain third-party billing in the EPS software, enabling compliant claims and revenue optimization. You’ll support Managed Care policy goals and partner across Pharmacy Ops, IT, and Accounts Receivable.

Ideal candidates have pharmacy managed care and third-party billing experience, familiarity with EPS systems, and strong communications skills to drive compliance and efficiency.