Patient Access Programs Operations Specialist
Manages Drug Pathway operations, system configuration, audits, ticket resolution, documentation, and pharmacy program rollouts. Requires 2+ years in high-volume operations and strong spreadsheet skills; healthcare, pharmacy, claims, or PBM experience is relevant.
About the job
Responsibilities
- Manage day-to-day processing of Drug Pathway updates and complete operational tasks within established SLAs.
- Perform data entry and system configuration in adjudication, administrative, and CRM platforms.
- Audit live systems against internal clinical and financial standards.
- Serve as the first point of contact for internal operational tickets and bottlenecks.
- Resolve data discrepancies and system errors in collaboration with Data, Business Systems, Engineering, and Customer Success teams.
- Draft and update step-by-step Drug Pathway management manuals.
- Support pharmacy program rollouts by preparing data files, testing sandbox configurations, and confirming successful go-lives.
- Assist with ad hoc projects and assigned operational tasks.
Requirements
- High school diploma required.
- 2+ years of experience in a high-volume operational role, such as pharmacy technician, claims processing, benefits administration, or PBM operations.
- Proven ability to perform repetitive, high-stakes tasks with zero-defect accuracy.
- Proficiency in Excel and Google Sheets, including pivot tables, VLOOKUPs, data modeling, and reporting.
- Comfort using Google Workspace, Microsoft Office, Slack, Zoom, or similar collaboration tools.
Preferred Qualifications
- Associate or bachelor's degree in healthcare administration, business, or data analytics.
- SQL experience for data querying.
- Experience with Salesforce, Zendesk, Jira, or similar operational ticketing and workflow tools.
Compensation
- Base salary range varies by work location:
- Zone A: $29.52–$36.92 USD per hour
- Zone B: $27.07–$33.85 USD per hour
- Zone C: $24.62–$30.77 USD per hour
- Actual pay varies based on location, job level, knowledge, skills, experience, and education.
- Total rewards may include bonuses, commissions, or equity, along with medical, pharmacy, dental, vision, life and disability insurance, paid time off, paid parental leave, flexible spending benefits, 401(k), wellness benefits, commuter benefits, employee assistance, and professional development opportunities.
Skills
Excel, Google Sheets, Pivot Tables, Vlookup, Data Modeling, SQL, Google Workspace, Microsoft Office, Salesforce, Zendesk, Jira, CRM
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