Account Install Specialist

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Account Install Specialist
**Job Description**:
The Account Install Specialist is responsible for interpreting and entering correct benefit plan designs into the claims processing system (AS400) as submitted to Prime with collaboration between the Account Install Analyst, Pharmacist, and Quality Audit roles. This position also conducts initial system testing and resolves issues to ensure accuracy of claims processing.

**Responsibilities**:

- Provide benefit plan submission support to clients and respond and resolve client submission questions or issues in a timely manner
- Receive incoming client benefit plan designs and appropriately code and document benefits for new or renewing business
- Perform condensed system testing to verify benefits are entered correctly and forward benefit plan submissions to Quality Audit staff for full plan testing and certification
- Resolve set-up issues and/or escalate system defects for Commercial and Health Insurance Marketplace with sense of urgency to avoid member disruption
- May participate in cross-functional projects to ensure identification and adoption of operational best practices, project collaboration, and issue resolution
- May provide coaching to new Account Install Specialists and conduct first reviews of plan build
- Strive to promote continuous process improvement
- Other duties as assigned

Minimum Qualifications
- Associate’s degree in Business, health care or related area of study, or equivalent combination of education and/or relevant work experience in health care, health care operations, data entry, claims processing, or related work; HS diploma or GED required
- Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications
- Analytical and problem-solving skills with high level of attention to detail
- Organizational skills with ability to work on multiple projects simultaneously and under strict timelines
- Ability to implement process improvement plans with strong commitment toward continuous process improvement and customer service
- Experience with Microsoft Word and Excel
- Proven technical knowledge and ability

Preferred Qualifications
- Bachelor’s degree in Business, health care, or related area of study
- 1 year of work experience in pharmacy benefit design, claims processing, or related role in Pharmacy Benefit Management (PBM)

Minimum Physical Job Requirements
- Ability to work a flexible schedule including overtime, weekends, holidays, on-call, and shifts outside of Prime’s core business hours of 9:00am to 3:00pm
- Constantly required to sit, use hands to handle or feel, talk and hear
- Frequently required to reach with hands and arms
- Occasionally required to stand, walk and stoop, kneel, and crouch
- Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
- Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure
- Reports to a Supervisor in the PBM Operations department

Potential pay for this position ranges from $22.02 - $31.15 based on location, experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page
and click on the "Benefits at a glance" button for more detail.