Sr. Operations Analyst

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr. Operations Analyst in United States.

This role plays a critical part in ensuring seamless client onboarding and ongoing operational integrity within pharmacy benefit management systems. You will act as a subject matter expert supporting complex electronic data interchange (EDI) integrations that keep eligibility, claims, and accumulator data synchronized across multiple platforms. The position involves deep analytical work, troubleshooting data flows, and resolving integration issues that directly impact client satisfaction and healthcare outcomes. You will collaborate closely with implementation teams, account managers, and external partners in a fast-paced, mission-driven environment. This is a fully remote opportunity within the United States, offering high visibility across client operations. The ideal candidate thrives in data-heavy environments and enjoys solving complex operational challenges that require precision and accountability.

Accountabilities

You will lead and support end-to-end client integration processes, ensuring accurate data exchange, system alignment, and high-quality operational performance across pharmacy benefit management platforms and client systems.

Lead complex client onboarding and integration projects, including EDI file setup, data conversion, and system configuration support
Monitor, troubleshoot, and resolve data issues across eligibility, claims, and accumulator files to ensure system accuracy and continuity
Serve as a subject matter expert for PBM file integration processes, standards, and platform configurations
Perform data validation, reconciliation, and operational analysis across multiple systems and external partners
Support daily and weekly batch file processing, ensuring timely updates and adherence to service standards
Collaborate with internal teams and clients to gather requirements, document processes, and ensure alignment on integration needs
Identify opportunities to improve operational workflows, tools, and data quality management practices

Requirements

You bring strong experience in operations, data integration, or PBM environments, with the ability to analyze complex datasets, resolve technical issues, and support mission-critical client operations.

5+ years of experience in operations analysis, PBM operations, client integrations, or related data operations roles
Strong understanding of pharmacy benefit management processes, including eligibility, claims, and accumulator systems
Experience working with EDI file exchanges, data integration workflows, and database systems
Proficiency in SQL and tools such as Microsoft Excel, Access, and other reporting or analysis platforms
Strong problem-solving skills with the ability to investigate, interpret, and resolve complex data issues
Experience collaborating with cross-functional teams and external clients in a service-oriented environment
Excellent communication skills with strong attention to detail and documentation quality
Ability to manage multiple priorities in a fast-paced, deadline-driven environment
Familiarity with AI-enabled tools for data analysis or operational support is a plus

Benefits

Competitive compensation package
Comprehensive medical, dental, and vision coverage
Low-cost healthcare plans with employee-friendly deductibles and copays
Employer-paid life insurance, AD&D, short-term and long-term disability coverage
401(k) plan with employer matching contributions
Generous paid time off and flexible work arrangements
Mental health and wellbeing support resources
FSA and additional voluntary benefit options
Remote-first work environment within the United States
Professional development and training opportunities
Collaborative, mission-driven culture focused on healthcare impact

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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Requirements

Benefits

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