Pharmacy Recovery Analyst
La Grange, KYFull-time$64K/yrSeen 6 days agoSeen in employer's feed 6 days ago
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Job overview
Machinify’s Pharmacy Payer-to-Payer team manages pharmacy claim recovery on behalf of clients. The Pharmacy Recovery Analyst collaborates with payers on reconciliation processes, analyzes outcomes to improve recovery efforts, and develops team reporting and process documentation. The role requires a bachelor’s degree or 2–3 years of directly applicable experience, along with analytical, problem-solving, and data skills. The posting lists on-site work and a full-time schedule.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
2 - 3 years
Minimum Education Required
Bachelor's Degree
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
At Machinify, we're constantly reimagining what's possible in our industry-creating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Pharmacy Payer-to-Payer team, you will manage the pharmacy claim recovery process on behalf of Machinify clients.
What you'll do
Collaborate with payers to establish and enhance reconciliation processes.
Think critically and analyze outcomes to support the development of process improvements that increase the effectiveness of recovery efforts.
Develop and generate team reporting.
Develop and maintain process documentation.
What experience you bring (Role Requirements)
Bachelor's degree or 2 - 3 years of directly applicable experience
Excellent work ethic
Strong analytical skills with experience organizing and summarizing data and preparing analysis and recommendations.
Critical thinking, creativity and problem-solving skills; ability to propose viable solutions
Must work well on a team and individually with the ability to plan and schedule activities to accomplish objectives in a dynamic environment
Experience with MS Office Suit, specifically the use of Pivot Tables and V-Lookup
Ability to write, edit and understand SQL Select Queries.
Experience with lean and Six Sigma process development concepts preferred
Experience in the pharmacy benefit management, health insurance, and/or accounts receivable management industries preferred
What Success Looks Like...
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You've gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You've been entrusted with greater responsibility indicating the company's confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: $64,000 annual salary with significant bonus opportunity. This is an exempt position.
What's in it for you
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Remote and hybrid work options
Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of r ace, color, ancestry, r eligion, s ex, national origin, s exual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at:https://www.machinify.com/candidate-privacy-notice/
Equal Opportunity Employer
Veteran Friendly Employer
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
4484421009
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