Job Description
Position Responsibilities:
Work with data exchange partners and internal teams to develop integrated member accumulations data exchange feeds and ensure the accuracy of integrated accumulations at Capital Rx
Serving as a point of coordination for member accumulation issue identification and issue resolution with internal teams and external integration partners
Identify and triage accumulation issues and support the resolution of all errors related to transferring, loading, and management of integrated accumulation data
Proactively monitoring system status and accumulation management data to quickly identify potential abnormalities that might impact quality and accuracy
Ensuring that all issues and errors are resolved using designated operating standards and within defined service levels
Assist with the validation of accumulation data integrity through regular audits and reconciliation processes
Participate in projects with accumulation impacts including vendor changes, client migrations, and client add-on requests
Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Required Qualifications:
Bachelor’s degree
1+ years of previous work experience, preferably in PBM, Healthcare, Data Exchange, and Integrated Accumulations
Ability to match key PBM concepts and data fields across various systems and file layouts to ensure consistency and accuracy of data transfers
Ability to analyze complex business problems to discover and resolve root causes
Proficiency in SQL, Excel, JSON and other technical data skills preferred
Strong communication skills with the ability to develop effective work relationships with internal and external stakeholders
Self-motivated and detail-oriented problem solver
Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team
Base Salary: $85,000 - $100,000
Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment.
Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
About Capital Rx
Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.
Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
