Analyst, Member Payments
Core
Research, reconcile, and resolve member payment activity including reimbursements, recoupments, and check voids while developing operational reports.
Role type
Analyst, Member Payments (Finance Operations)
Builds
Accurate member payment processing and operational visibility reports
Domain
Healthcare / PBM Financial Operations
Required skills
Excel (advanced functions, pivot tables, data manipulation), SAP or similar financial systems, Salesforce, Compass, transaction research, account reconciliation
Preferred skills
Healthcare/PBM/payment processing domain knowledge, RxClaim application, audit controls/SOX/HIPAA compliance, data trend analysis, UAT support
Technologies
SAP, Salesforce, Compass, RxClaim
Responsibilities
Reconcile member payment activity and resolve discrepancies, develop and analyze operational reports for payment trends, partner with MIS team on system enhancements and testing, collaborate cross-functionally to resolve complex payment issues
Seniority
Mid-level, hands-on IC