Electronic Data Interchange (EDI) Analyst
Penumbra IncFull Time
Junior (1 to 2 years)
The ideal candidate will have a Bachelor's degree or equivalent experience and 4-6 years of EDI experience. Preferred qualifications include experience with pharmacy claims adjudication (NCPDP) and intermediate technical skills. Applicants must be based in specific states including Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, North Carolina, South Carolina, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin.
The EDI Configuration Analyst will work cross-functionally to develop and implement streamlined electronic data integration workflows, assisting in designing processes for integral PBM file exchanges. Responsibilities include serving as the primary technical contact for eligibility and data integration discussions, ensuring clients understand technical implementation roles and responsibilities, and providing guidance on technical integration processes. The analyst will also lead solution configuration and quality assurance, participate in technical implementation tasks, troubleshoot electronic data sharing issues, and develop expertise in SmithRx data process flows to act as an EDI expert for clients. Additionally, they will provide product knowledge to stakeholders, manage implementation resources, and manage integrations with third-party systems.
Pharmacy benefit management with transparent pricing
SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. SmithRx aims to simplify pharmacy benefits while maximizing value for its clients through transparency, advanced technology, and exceptional customer service.