Client Benefit Analyst

At Express Scripts, a Fortune 100 company, we provide pharmacy benefits management services to tens of millions of consumers through thousands of employers, government and union health plans. We call St. Louis home, but there are administrative, pharmacy, and customer service operations throughout the United States and Canada. Express Scripts continues to expand its services with more than 14,000 employees focused on our mission to make the use of prescription drugs safer and more affordable Since 1986, the company';s legacy of independence ensures that our interests are aligned with plan sponsors and their members. We share a common cause with each of our clients to help offer a healthy prescription-drug benefit today and into the future. As an employee you can be proud knowing you';re improving the quality of life of millions of people every day.
ABOUT THE DEPARTMENT
The Client & Patient Services organization is responsible for ensuring high-quality service delivery to Express Scripts members and clients in a cost-efficient manner. Patient Services provides mail pharmacy services, addresses members inquiries and provides value-added consultation. In addition this organization includes Client Services, which encompasses client and benefit administration, quality control, implementation, client support center (CSC), participant materials, clinical operations and eligibility. In addition, Client & Patient Services includes centralized functions to drive continuous process improvement, pharmacy compliance and forward-looking planning. This organization also includes Medical Affairs, Clinical Services, and Express Scripts Pharma Business Services subsidiary.
RESPONSIBILITIES
Manages client requests related to benefit design adds and changes across all business units servicing many members. Independently manage and track all benefit design requests to ensure timelines are met including the proactive management of client specific performance guarantees. Manage all benefit design requests to ensure high quality results are consistently met for ESI clients and members thus mitigating financial and/or member disruption. Communicates clearly and professionally with both external and internal partners related to all aspects of benefit set up. ESSENTIAL FUNCTIONS:
1.Manages client requests related to benefit design adds and changes across all business units servicing many members. 2.Conducting a detailed analysis of every request, proactively consulting with both internal and external customers, and implementing the benefit design specifications to meet client and member needs. 3.Independently manages and tracks all benefit design requests to ensure timelines are met including the proactive management of client specific performance guarantees. 4.Manages all benefit design requests to ensure high quality results are consistently met for ESI clients and members thus mitigating financial and/or member disruption. 5.Sound critical thinking skills and the consistent application of departmental processes such as verification and compass testing. 6.When errors are discovered the analyst will use solutions based approach to proactively determine root cause and to establish a broad scope prevention plan. 7.Communicates clearly and professionally with both external and internal partners related to all aspects of benefit set up including but not limited to the explanation of the benefit process, negotiation of benefit design effective dates, reasonable turnaround time expectations and potential risk to the client and/or ESI. 8.Engage in projects as a participant as needed and successfully meet all project requirements including timeliness and accuracy