Operations Analyst

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 innovate, are life-long learners and growers, and have an entrepreneurial and positive mindset. 

Job Summary: 

The Operations Analyst works closely and collaboratively with RxAdvance Operations and Implementation teams and external stakeholders to maintain operational deadlines and provide support for post-go-live activities. They gather requirements and data files from external stakeholders and attend cross-departmental meetings to provide insight in any relevant findings. The operations analyst is responsible for providing support in one or many workstreams within the operations team. 

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

• Assist in managing client specific letter templates.
• Perform and create test case scenarios to ensure all letters are generated accurately. 
• Support in the creating, designing (routing), testing, and implementing client specific call trees.
• Interact with health plan clients’ operations teams on a regular basis to address outstanding letter and call tree issues and bring them to resolution.
• Create performance reports for internal and external usage on a regular or ad-hoc basis to manage agreed upon performance guarantees on letters.
• Other duties as assigned.
• 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.

Professional Experience:

• 2-4 years’ relevant experience.

Licenses/Certifications:

• n/a

Specialized Skills:

• Strong written communication skills with attention to details.
• Ability to visualize processes and identify core functions.
• Strong organizational skills. 
• Excellent communication skills with an ability distill complex challenges and detailed analysis into simple, structured frameworks with actionable solutions.
• Team player with a collaborative working style.
• Ability to multitask on different projects and timelines.
• Strong interest in healthcare and technology industries.

Technical Skills:

• Strong PC skills; MS Word, Excel, Access, and Power Point

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