Business Analyst, PRCM

Business Analyst

Under the minimal direction of a Manager, the Business Analyst (BA) is a key member of the PFM account team. The BA works directly with the client to manage the client's third-party prescription receivables in accordance with generally accepted accounting principles (GAAP). The Business Analyst performs account analysis, general ledger transactions and collection duties. Duties also include managing day-to-day client relationships, interacting with numerous internal and external parties, assisting with on-boarding of new clients, cross-training with other team members, developing and improving operating processes, monitoring system processes, recommending product enhancements and system testing.

Primary Accountabilities :

• Analytical : Analyzing unapplied cash categories to identify exceptions or unusual items
• Making general ledger adjustments to properly classify transactions
• Identifying transactions for rebilling
• Identifying transaction fees / contractual adjustments
• Researching adjustments made by third parties
• Resolving transaction posting discrepancies and file transmission issues
• Developing processes and procedures to maintain and monitor unapplied cash balances at acceptable levels
• Making recommendations for process improvements and product / service enhancements
• Preparing and analyzing weekly and monthly client reports in accordance with GAAP
• Administrative : Developing and testing rules for client data (pre-process functions)
• Establishing and maintaining client master file data, accounting calendars, payment association rules, payment application rules
• Assisting with the development, documentation, testing and analysis of new services
• Balancing to client lockbox(s), general ledger, and POS systems
• Maintaining tracking log for client requests / outstanding deliverables
• Assisting with preparation of client business review materials
• Drafting correspondence and procedural guidelines to instruct clients regarding Inmar's processes, policies, and procedures.
• Maintaining HIPAA (Health Insurance Portability and Accountability Act) compliance in all client communication.
• Entering Salesforce cases for client inquires
• Informing team members and management on client cases, successes, and current inquiries
• Assisting client auditors in understanding Inmar's reconciliation system and reports
• Influence : Serving as the primary point of contact for client inquiries regarding cash and claims posting
• Training clients on Inmar's reconciliation system
• Discussing operational issues with clients and making recommendations for products and services to meet Client needs
• Assisting clients with interpreting information
• Recommending and implementing best practices for transaction processing such as business rules, tolerance settings, transaction tagging
• Perform special projects and other duties as assigned by management

Required Qualifications :

Individual Competencies :

The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

While performing the duties of this job, the associate is :

Support a safe work environment by following safety rules and regulations and reporting all safety hazards.

As an Inmar Associate, you :

At Inmar, we put people first and that means empowering our associates to thrive at every stage of life and career. Our comprehensive and competitive benefits package is thoughtfully designed to support a wide range of lifestyles and life stages.

Eligible associates have access to :

We also offer :

Please note that eligibility for some benefits may depend on your job classification and length of employment. Benefits are subject to change and may be governed by specific plan or program terms.

We are an Equal Opportunity Employer, including disability / vets.

Recruitment Fraud Notice : Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in our full notice.