Partner Operations Specialist (Health-Tech)

TL;DR

Partner Operations Specialist (Health-Tech): Monitoring and problem-solving issues with eligibility, accumulator, and claims files to ensure data accuracy across systems with an accent on data syncing and system configuration. Focus on validating inbound files from partners, troubleshooting claims adjudication processes, and collaborating cross-functionally to automate workflows.

Location: Remote (Must be based in the USA)

Company

Venture-backed Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform.

What you will do

• Manage rotating tasks for monitoring incoming/outgoing files and ensuring data syncing across systems.
• Validate system configurations for accuracy by monitoring inbound files from external partners.
• Identify operational issues, create resolution tickets, and track them to completion.
• Support new partner integrations and client implementations.
• Provide troubleshooting for claims adjudication processes, eligibility, and reporting.
• Collaborate cross-functionally on system enhancements for workflow automation.

Requirements

• 2+ years of experience as a pharmacy technician or other relevant industry experience.
• High School Diploma or GED.
• Experience in Microsoft Excel for building, reviewing, and interpreting reports.
• Must be based in the United States to align with US healthcare system operations and benefits.

Nice to have

• Familiarity with Looker, Datadog, Jira, Tableau, and/or Salesforce.
• Ability to run basic SQL queries.

Culture & Benefits

• Comprehensive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life insurance.
• 3 weeks Paid Time Off and paid company holidays.
• 401(k) Retirement Savings Program.
• Paid Parental Leave and Flexible Spending Benefits.
• Professional development and training opportunities.