Dept Specialist II - Third-Party Host Administrator

Albertsons CompaniesBoise, IdahoOn-siteFull-timeMid level, 2–5 yearsListed 5 hours ago

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About this role

Why choose us?

Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand!

At Albertsons Companies, we are looking for someone who’s not just seeking a job, but someone who wants to make an impact. In this role, you’ll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that’s constantly evolving.

Main responsibilities:

The Third-Party Host Administrator is responsible for maintaining the Third-Party billing setup in the EPS software system which enables pharmacies to transmit compliant claims. They will assist the Managed Care Manager(s) in improving cost containment policies and compliance goals.

- Input and maintain third party plan data elements within the EPS software system, ensuring compliance with HIPAA and National Council for Prescription Drug Programs (NCPDP) standards.

- Provide Level II pharmacy systems support by troubleshooting third party billing issues and serving as an escalation resource for help desk agents.

- Perform User Acceptance Testing (UAT) and regression testing for EPS software enhancements, updates, and defect resolutions.

- Communicate with pharmacies regarding third party billing requirements, claim adjudication issues, and implementation updates through email and internal ticketing systems.

- Collaborate with the Managed Care team to ensure host third party records are current, accurate, and properly distributed to stores.

- Support EPS software enhancement initiatives that improve reimbursement accuracy, cost containment strategies, and compliance objectives.

- Coordinate with IT Service Desk, Accounts Receivable, Pharmacy Operations, and Pharmacy Benefit Managers (PBMs) to maintain continuity of third party billing operations and reimbursement performance.

- Compile and provide third party claim data and operational reporting to support business analysis and departmental initiatives.

- Document troubleshooting procedures, system configurations, and business processes to support operational consistency and knowledge sharing.

- Identify and escalate recurring system, billing, or configuration issues to senior team members for resolution.

- Reviews reports and collaborates with the external vendor, LexisNexis, to ensure prescriber profiles are updated accurately and appropriately.

We are looking for candidates who possess the following:

- Preferred pharmacy experience including managed care and third-party billing

- Preferred knowledge of EPS pharmacy systems software

- Knowledge of Linux system operating systems

- Knowledge of Pharmacy Benefit Managers.

- Knowledge of NCPDP Standards and Federal & State legislation affecting pharmacy trends.

- Proficiency in Microsoft Office (Outlook, Excel, Word, Access).

- Excellent written and oral communication skills.

- Outstanding customer services skills

- Problem solver

- Ability to multi-task with strong attention to detail.

- Self-starter, able to work with minimum supervision.

Physical Environment:

- Most work is performed in a temperature-controlled office environment.

- Ability to sit for long periods at desk or computer.

- Will use calculators, keyboards, telephone, and other office equipment.

- Stooping, bending, twisting, and reaching may be required in completion of job duties.

We also provide a variety of benefits including:

- Competitive wages paid weekly

- Access to up to 50% of your earned wages before payday, via our partnership with Stream

- Associate discounts

- Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)

- Time off (vacation, holidays, sick pay). For eligibility requirements please visit https://urldefense.com/v3/__https:/myaci-benefits.com/__;!!K1aXqncla1X7G90AkdLmCg!rAQQIgK5qTHEOZimihiTu-Cq5CqDd5yTyDy2Md9yy2X9n5N5-LNd_VFz-Ph78hdScxWtyckceXfHreYVJ1PsQk_8tfijDVHG5g$ myACI Benefits

- Leaders invested in your training, career growth and development

- An inclusive work environment with talented colleagues who reflect the communities we serve

Our Values – Click below to view video: ACI Values

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