Analyst, Data Exchange, SaaS
Capital Rx
Amazon RedshiftAWSJavaSQLSwift
Customer Success Manager
Capital Rx
full-time
Posted on:
Origin: • 🇺🇸 United States • Colorado
Visit company websiteSalary
💰 $90,000 - $115,000 per year
Job Level
Mid-LevelSenior
Tech Stack
Amazon RedshiftAWSSQLSwift
About the role
- Serve as the point of contact for all adjudication related inquires in support of Capital Rx’s Software as a Service (SaaS) customers.
- Provide configuration services and support as needed across multiple modules in JUDI.
- Provide customers with subject matter expertise in JUDI’s capabilities, ensuring successful migration to the adjudication platform.
- Accountable for accurate translation of requirements from previous adjudication systems and configure to the customer’s intent.
- Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics.
- Lead communications throughout the implementation period by providing detailed and strategic guidance on the intersection points of plan benefit configuration, network, formulary, clinical and data exchanges.
- Proactively identify execution risks that would inhibit successful launch in JUDI or negatively impact member experience and propose mitigation strategies.
- Identify and make recommendations drive configuration efficiencies for SaaS customers in JUDI.
- Conduct comprehensive testing and review of configurations.
- Monitor live claims for accuracy. Proactivly identify trends and claims discrepancies.
- Responsible for ongoing customer support for configuration evaluations, troubleshooting inquiries, working directly with customers, vendors, and operations teams to achieve positive outcomes, within the required turnaround times to meet service level agreements.
- Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication.
- Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends.
- Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Requirements
- Bachelors Degree in relevant field or 4+ years experience in PBM or Health plan required
- 2+ years in a customer facing role
- Medicare Part D subject matter expertise required
- Experience operating multiple claims adjudication systems
- 1+ years of SQL experience and managing large data sets preferred
- PBM and/or pharmacy technician experience preferred
- Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction
- Ability to shift between competing priorities and meet organizational goals
- Proficient in Microsoft office Suite and willing to adapt to software such as Jira, Miro, Confluence, Github, and AWS Redshift
- Excellent verbal, written, interpersonal and presentation skills
- Ability to work effectively with virtual teams
- Ability to travel 5-10%
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