15 days old

Reconciliation Analyst

Managed Health Care Associates, Inc.
Florham Park, NJ 07932
  • Job Code

Job Purpose:

The Reconciliation Analyst is responsible for ensuring MHA members have access to eligible contract pricing though authorized MHA Wholesalers and Distributors. The Reconciliation Analyst coordinates with MHA Wholesalers & Distributors, Sales Teams, Internal Operations Teams and Trade Relations to ensure the following:

  • Vendor contracts are properly loaded

  • Members are correctly attached to contracts

  • Contract pricing or member eligibility issues are resolved in a timely fashion

An essential part of this position is to analyze Wholesaler & Distributor sales data to proactively identify, research and resolve contract pricing and member eligibility issues.

Essential Duties & Responsibilities:

  • Liaise daily with wholesalers/distributors to confirm that new members, member changes, new contracts and changes to existing contracts are accurately loaded in the wholesalers/distributors systems.

  • Generate sales audit reports using standard queries in order to analyze and identify member eligibility and contract pricing issues, and work with internal teams and wholesalers/distributors to resolve discrepancies in a timely fashion.

  • Prioritize issues based on urgency and member sales impact.

  • Respond to inquiries from the sales teams regarding member eligibility, contract loads, account status, and account activity.

  • Coordinate with the Membership team to obtain vendor confirmation of members contract eligibility status in order to facilitate members access to contract pricing via wholesalers/distributors and resolve vendor blocks.

  • Coordinate with the Contract Management Team to resolve vendor contract product and pricing issues and discrepancies at the wholesalers/distributors.

  • Manage and maintain RemedyForce tickets which contains records and follow-up activities for open and resolved discrepancies.

  • Produce ad hoc reports and summarize findings and trends in data, as requested by Management and other internal departments.

Minimum Qualifications & Competencies:

  • Bachelor Degree /Associates Degree orequivalentwork experiencerequired.

  • Strong proficiency in MS Office applications including Excel (Pivot Tables, v-lookup), Word, and Outlook.

  • Excellent verbal and written communications skills, well organized and the ability to self-manage and work with minimal guidance.

  • Strong analytical and problem solving skills with the ability to interpret data and identify trends.

  • Strong verbal and written communication skills.

  • Excellent organization and time management skills with ability to prioritize work and function with minimal guidance.

  • Professional demeanor in performing job responsibilities and when interacting with others.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c)


Posted: 2021-09-11 Expires: 2021-10-10
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Reconciliation Analyst

Managed Health Care Associates, Inc.
Florham Park, NJ 07932

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