Service Operations Analyst

Remote Full-time
This a Full Remote job, the offer is available from: Indiana (USA), Washington (USA) We’re Hiring a Service Operations Analyst! Drive Operational Excellence in Pharmacy Benefit Management At True Rx Health Strategists we’re redefining pharmacy benefit operations with innovation, precision, and care. As a Service Operations Analyst, you’ll be the problem-solver behind the scenes—ensuring claims process flawlessly, eligibility data stays accurate, and integrations run smoothly. If you thrive on tackling complex challenges and turning insights into scalable solutions, this role is for you. Work in office: 20%; Work from home: 80% What You’ll Do: • Own the Issue Lifecycle: Investigate, resolve, and document operational issues from intake to resolution—partnering with internal teams and external vendors to keep service delivery seamless. • Analyze & Audit: Use SQL and data tools to identify trends, systemic issues, and opportunities for improvement. • Communicate Clearly: Provide transparent updates and maintain detailed documentation for stakeholders and partners. • Improve Processes: Recommend and implement long-term solutions, automation, and system enhancements to prevent recurring issues. • Collaborate Cross-Functionally: Work with Clinical, Data Architecture, Integrations, Benefits Configuration, and more to deliver effective solutions. • Support Vendor Partnerships: Engage with adjudication software vendors to ensure accurate claims processing and system performance. What You Bring: • Education: Bachelor’s in Business, Healthcare Management, Information Systems, or related field (or equivalent experience). • Experience: 1+ year in PBM, healthcare operations, or health tech preferred; familiarity with claims processing, eligibility, and accumulator logic. • Technical Skills: Proficient in SQL and comfortable querying large datasets. • Analytical Mindset: Strong root cause analysis and problem-solving skills. • Communication: Ability to translate technical details into clear, actionable updates. • Collaboration: Proven success working across technical and non-technical teams. • Detail Orientation: Commitment to accuracy and service quality. True Rx Health Strategist Benefits: • Path to Wellness: Health, Vision, & Dental Insurance, Health Savings Account, and Wellness Incentives for a balanced life. • Financial Fitness: 401k Matching and Employer-Provided Life Insurance to secure your future. • Work-Life Harmony: Flex Time, Hybrid/Fully Remote Work, Paid Time Off, and 8 Paid Holidays for a well-rounded lifestyle. Our Story: We’ve been pharmacy innovators since the Wright Brothers took flight. For more than 120 years, we have been innovating pharmacy solutions and taking care of patients. True Rx Health Strategists is led by a fourth generation of pharmacists. We are family-owned and continue to provide caring service for clients and patients. Our team of pharmacists and strategists delivers proven programs that find maximum savings and minimum disruption by creating a benefits plan that fits the unique needs of clients and patients. Learn more about us here. Our Mission: True Rx Health Strategists cultivates health, integrity, innovation, and care to transcend pharmacy benefit solutions for employers and patients. Learn more about our remarkable team members. Our Promise: As a pharmacist-led company, True Rx Health Strategists has an oath to treat members as patients. With our experience as health care providers, we protect companies against waste in health care spending and work hard to improve the health of employees every day. We get to improve lives by treating employees as our patients. Here are a few words from one of those lives. True Rx Health Strategists hires equally for culture fit and technical skills and experience. If you have the aptitude and attitude, we can help you grow your career through training, mentoring, increasing responsibility, and being around other rock star team members. True Rx Health Strategists is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability. This offer from "True Rx Health Strategists" has been enriched by Jobgether.com and got a 82% flex score. Apply tot his job
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