Overview
The Manager, Client Integration is responsible for leading and managing a small team of 2-4 analysts. The team is responsible for the implementation of new clients and support ongoing maintenance of client and third-party administrator (TPA) electronic data interchange (EDI) processing. These integrations utilize systems and applications for loading batch files, monitoring automated jobs, identifying file/data issues and resolving data exceptions. These processes keep medical coverage eligibility, member demographics, and claim/deductible balance accumulators in sync between Maxor’s PBM platform and our client’s systems. Set ambitious goals, manage operational delivery for the team and grow/develop the business/technical capabilities. Lead best practices for documenting and developing efficient/automated solutions to promote operational capability while also improving client data integrity. Reporting to the Sr. Director of Eligibility and Accumulators the Manager, Client Integration will meet all service standards to ensure client satisfaction.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities. With a workforce of 1,000+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Our Company
Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with more than 1200 employees working from 42 states
Position Location
This is a remote-based position within the Continental US.
Responsibilities
- Support new and existing clients through implementation/conversion/integration processes working directly with clients, account managers and implementation teams though full data-life-cycle development.
- Serve as a Subject Matter Expert (SME) on integration points with Maxor’s PBM platform, application, file integration functions/standards and back end data models.
- Manage the process and support daily/weekly client batch file updates working directly with account managers, implementation teams and clients.
- Manage and development a small team of people
- Execute advanced/dynamic SQL scripts to generate flat files or reports to support back-end file processing, reconciliation analysis, and internal/external reporting.
- Review, analyze, and implement complex file mappings and data conversions to support standard and custom file integrations between Maxor and our clients.
- Plan, document, implement new or improved automated/ETL solutions
- Conduct system testing of new features, integrations and back-end features
- With a focus on quality and timeliness, maintain ownership for assigned goals
- Ensure quality, service level, productivity and customer standards are consistently met.
- Handle routine work stream assignments along with, but not limited to, member and file research, assisting with file processing/data analysis, advise/consult with our internal teams and clients
- Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
- Complete required training, as assigned, within the established timeframes.
- Must be able to cope with the mental and emotional stress of the position.
- Promote teamwork and best practices
- Maintain regular attendance in accordance with established policies.
- Perform other job-related duties as assigned.
Qualifications
Education: Bachelor’s Degree in business, health administration, computer science, information systems, engineering or related field required.
Experience: Experience in data cleansing/mapping/formatting, ETL frameworks, and/or database relational models. Previous experience with health care enrollment/eligibility/accumulator fundamentals and Pharmacy Benefits Managers (PBMs) data/file exchange/integration
experience preferred. Proven analytical, communication and organizational skills.
Knowledge, Skills, and Abilities:
- 5+ years of experience in data exchange, integration, ETL frameworks, data visualization and/or relational database models/design.
- 5+ years of experience as an operations analyst and/or relevant pharmacy benefit management (PBM) experience
- 2+ years of experience leading people and projects across business and technical domains with the ability to directly manage a team of 2-5 analysts.
- Strong business acumen with healthcare and pharmacy benefit management industry knowledge preferred.
- A desire to problem solve, think critically, analyze and interpret data.
- Ability to identify assumptions, be inquisitive and reach conclusions.
- Ability to communicate, document, share and acquire knowledge.
- Ability to adapt, continuously improve, and lead building new tools and process.
- Proven ability to develop effective working relationships with internal and external stakeholders.
- Motivated by goal oriented delivery, ability to understand overall business objectives and drive towards results.
WHY CHOOSE A CAREER AT MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients’ lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy care.
WE OFFER: A diverse, progressive culture that supports a “dress for your day” attire and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
- Company paid basic life/AD&D, Short-term and Long-term disability insurance
- Rx, dental, vision, short-term disability, and FSA
- Employer-matched 401k Plan
- Industry leading PTO plan
- And MORE!
Apply today at: https://careers-maxor.icims.com/
Maxor is an EOE, including disability/vets
