Implementation Analyst Job at RxAdvance/ NirvanaHealth

RxAdvance/ NirvanaHealth Southborough, MA 01772

Company Overview:

Join us in our mission to transform healthcare! RxAdvance, now doing business as nirvanaHealth, is committed to bringing the art of possible to the payer and PBM industries, which is why we strive to invest in our employees throughout all stages of life. Success radiates through all levels of employees here, with competitive benefits, a strong focus on employee wellness, and optional education courses offered through UDEMY: we aim to support all aspects of employee growth.

Characterized by curiosity, innovation, and an entrepreneurial mindset, nirvanaHealth is the first to offer medical and pharmacy benefit management solutions that run on the same platform, made possible by our creation, Aria – the first robotic process automation cloud platform designed for healthcare.

Led by our chairperson John Sculley (former Apple CEO) and noted healthcare entrepreneur and founder of ikaSystems Ravi Ika, nirvanaHealth endeavors to sizably reduce the $900 billion in waste in healthcare administrative and medical costs. We are seeking A-players to join our team – folks who embrace the grind and hustle of a growing company, are collaborative and innovative, are life-long learners and growers, and have an entrepreneurial and positive mindset.

Job Summary:

The Implementation Analyst works closely and collaboratively with RxAdvance Implementation Project Managers and external stakeholders to maintain implementation deadlines and provide support for pre-go-live activities. He or she will analyze reports and data files from external stakeholders and attend meetings to provide insight on any relevant findings. The Implementation Analyst is responsible for providing support in one or many workstreams within the Implementation Team.

Job Responsibilities (but not limited to): [PHARM Core 25 (d)]

  • Work with RxAdvance’s Implementation team and health plan account mgmt. to drive PBM implementation tasks, post go-live support activities, and platform enhancements initiatives.
  • Interact with health plan clients’ operations teams on a regular basis to address outstanding issues and bring them to resolution.
  • Work closely with diverse departments to manage daily operations within schedule, scope, and quality to meet established service level agreements.
  • Create performance reports for internal and external usage on a regular or ad-hoc basis to manage agreed upon performance and financial guarantees.
  • Monitor and review state and federal healthcare polices to ensure that the platform is compliant. If gaps are identified, work with technical and clinical teams to translate state and federal regulations into configurable solutions.
  • Other responsibilities as required.
  • Have a general understanding of, and perform in compliance with, the current PBM v2.2 URAC standards applicable to the position.

Qualifications: [PHARM Core 25 (a) (b) (c)]

Education and/or Training:Bachelor’s degree required, degree in business, IT, public policy, or healthcare-related fields is preferred

Professional Experience:Demonstrated track record of academic, professional, and personal success.
Ability to visualize processes and identify core functions.
Strong interest in healthcare and technology industries.

Licenses/Certifications:n/a

Specialized Skills:Strong organizational skills and ability to reprioritize projects as needed.
Desire to work closely with senior leadership in tackling complex issues.
Excellent communication skills with an ability distill complex challenges and detailed analysis into simple, structured frameworks with actionable solutions.
Careful attention to detail with strong analytical capabilities.
Team player with a collaborative working style.
Ability to multitask on different projects and timelines.

Technical Skills:Strong PC skills; MS Word, Excel, Access, and PowerPoint

Additional Considerations:Applicants must be able to pass a background investigation as all offers are pending a successful completion of background check per the company policy.

Physical and Mental Requirements:

Physical Activities:Some travel may be required

Mental Activities:General mental activity related to job duties

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • After school
  • Choose your own hours
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Southborough, MA 01772: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • SQL: 1 year (Preferred)

Work Location: In person




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