Benefit Operations Analyst/Manager - Patient Affordability - Paysign : Job Details

Benefit Operations Analyst/Manager - Patient Affordability

Paysign

Job Location : all cities,NC, USA

Posted on : 2024-11-07T03:31:25Z

Job Description :

Position Title: Benefit Operations Analyst/Manager – Patient Affordability

FLSA Classification: Exempt

Reports To: Director, Account Management

Summary

The Benefit Operations Manager plays a crucial role in serving as a key liaison between our company, pharmacy processing partners, and medical benefit processing partners. This position's role is to optimize the benefit operations team and ensure efficient management of patient affordability programs on behalf of pharmaceutical companies. This position requires strong leadership skills, strategic thinking, and a deep understanding of benefit operations processes.

Essential Functions

Strategic Planning and Process Optimization

Write and refine business requirements for new patient affordability programs

Update existing programs with business rule changes as needed

Maintain and optimize program turnaround times and timelines

Develop and implement strategic plans to enhance operational efficiency

Identify areas for improvement in benefit operations processes

Lead initiatives to streamline workflows and reduce turnaround times

Collaborate with IT to optimize platform interactions and system integrations

Partner and Client Relations

Maintain relationships with pharmacy processing partners and medical benefit processing partners

Serve as the escalation point for complex issues or high-priority client requests

Participate in client meetings to provide expert consultation on program design and implementation

Program Oversight

Monitor the development and maintenance of patient affordability programs

Ensure compliance with business requirements and industry regulations

Oversee the implementation of business rule changes across programs

Review and approve major program updates or new program launches

Cross-functional Collaboration

Work closely with Account Management, IT and other departments to ensure alignment of benefit operations with overall business objectives

Participate in cross-functional projects to improve company-wide processes and systems

Act as a subject matter expert on benefit operations for internal stakeholders

Qualifications

Bachelor's degree in Business Administration, Healthcare Management, or related field;

3-5+ years of experience in healthcare benefits, pharmacy benefit management, or related area

Comprehensive understanding of patient affordability programs and pharmaceutical industry dynamics

Strong leadership skills

Excellent analytical and problem-solving abilities

Outstanding communication and interpersonal skills

Skills

Technical Proficiency: Strong aptitude for learning and working with various software platforms and data analysis tools, especially excel

Attention to Detail: Meticulous approach to maintaining accuracy in program rules and operations

Strategic Thinking: Ability to see the big picture and develop long-term solutions

Relationship Management: Skilled at building and maintaining strong partnerships with internal and external stakeholders

Industry Knowledge: In-depth understanding of the healthcare and pharmaceutical industries, including relevant regulations and trends

Working Conditions

  • Environment: Primarily indoor office setting, with standard office equipment.
  • Physical Demands: Frequent sitting, dexterity for computer use, occasional walking and standing, and lifting of less than 20 pounds.

*Preference given to those that reside in Raleigh/Durham/Chapel Hill, NC Area*

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