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1+ months
PBM Operations Vendor Management Professional 2 - Louisville, KY (515)
Humana
Louisville, KY 40207
**Description**
The Vendor Management Professional 2 works as liaison between vendors and organization. The Vendor Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
**Responsibilities**
+ As a PBM Operations Vendor Management Professional 2 you will collaborate with both internal and external business partners to aid with various tasks relating to oversight of our pharmacy claims processing vendor.
+ You will be a part of a team which analyzes and identifies key processes that need to be improved.
+ Create and manage internal databases and ensure data in the databases is accurate and easy to access.
+ Aid with vendor invoice reconciliation.
+ Assist with auditing the security access for Humana users in the pharmacy claims processing system.
+ Coordinate with external claims processing vendor for Claims History and Prior Authorization files for terminating groups and reviewing files for accuracy.
**Role Essentials**
+ Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.
+ Proven experience and knowledge with Microsoft Access Database, including query work and form creation.
+ Proven experience with leadership reports and dashboards.
+ Strong attention to detail.
+ Strong analytical and problem solving skills.
+ Excellent communication skills, both written and verbal **Role Desirables**
+ Bachelor's Degree
+ Experience in the health benefits/health insurance industry.
+ Humana Pharmacy knowledge.
+ Knowledge of Humana Systems and RxNova Desktop.
**Additional Information**
If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
**Scheduled Weekly Hours**
40
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Categories
Posted: 2020-11-27 Expires: 2021-02-07
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