Express Scripts Pharmacy Benefit Services · 1 day ago
Provider Claims Support Sr. Analyst - Express Scripts - Remote
United States
Full-time
Remote
Senior Level
$62K/yr - $104K/yrExpress Scripts Pharmacy Benefit Services is dedicated to improving health outcomes through innovative pharmacy care solutions. The Senior Analyst, Provider Claims Support is responsible for assisting Network Providers and Internal Business Partners with provider-submitted claims, ensuring operational activities align with Express Scripts' requirements and supporting strategic network initiatives.
Health CareInformation TechnologyInternetPharmaceutical
Responsibilities
Provides daily operational support for claim issues arising from provider inquiries, as well as internally and externally identified claims issues
Performs operational support activities including claim investigation, reject validation, and escalated issue management
Collaborates with cross-functional internal and external teams to provide ongoing support of Sponsors and their requirements
Serves as a subject matter expert in claims analytics and technical support. Acts as a primary point of contact for internal partners (e.g., Sales and Account Management, Network Implementation, Provider Compliance) regarding claim-related issues, managing ad hoc inquiries and facilitating provider outreach
Qualification
Required
Bachelor's degree in a related field, or equivalent relevant work experience
Knowledge of the healthcare and/or PBM industry
Strong problem-solving and analytical skills
Ability to work cross-functionally to research and resolve complex client and provider issues on a regular basis
Ability to manage multiple escalated issues simultaneously under tight timelines
Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions with minimal supervision
Basic proficiency in Microsoft Office applications, including PowerPoint, email, and spreadsheet software
Benefits
Medical
Vision
Dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Company
Express Scripts Pharmacy Benefit Services
Through Express Scripts Pharmacy Benefit Services, we create and manage innovative prescription benefit offerings to lower costs for members, health plans, employers, labor unions and government agencies.
Founded in 1986
10001+ employees
H1B Sponsorship
Express Scripts Pharmacy Benefit Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (9)
2023 (7)
2022 (60)
2021 (148)
2020 (165)
Funding
Current Stage
Public CompanyTotal Funding
unknown2018-03-08Acquired
1992-01-19IPO
Leadership Team
Matthew Schoenthaler
Vice President Sales, National Accounts, Western Region
Recent News
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