Play a key role in managing accurate pharmacy benefit data for clients across the U.S.
About Allegiance Benefit Plan Management
Allegiance delivers self-funded and fully insured health benefit administration with a focus on precision, compliance, and client service. We provide a collaborative, growth-oriented work environment and are committed to delivering reliable solutions for every client we serve.
Schedule
- Full-time position
- Remote or in-office options available
- Standard business hours (no evenings, weekends, or major holidays)
- Comprehensive training provided
Responsibilities
- Import and process PBM claims files with accuracy and timeliness
- Maintain audit criteria to ensure accurate import data for daily/finance files
- Create and update Pharmacy Import Decision workflows and checklists for new PBM groups
- Complete voids, negatives, and special programming needs in coordination with Plan Builders
- Sort, balance, and route PBM invoices; ensure accurate indexing with the Indexing Department
- Request and verify paid claims reports for stop loss submissions
- Respond promptly to inquiries from PBMs, plan sponsors, participants, providers, and internal teams
- Update participant data, including new enrollments and COBRA entries
- Research drug-specific information for internal departments and program approved plan overrides
Requirements
- High school diploma or GED required; college degree or medical terminology training preferred
- Proficiency with Windows, Excel, Access, Word, email, and internet navigation; PowerPoint a plus
- Previous experience with computer software applications; health insurance or group benefits experience preferred
- Accurate data entry and strong typing skills
- Strong communication, listening, and problem-solving skills
- Ability to work independently, prioritize, and meet deadlines under pressure
- Commitment to confidentiality and professional conduct
Benefits
- $17.50/hour starting pay
- Full benefits package, including:
- Medical, dental, and vision insurance
- Paid time off and holidays
- Life insurance and disability coverage
- 401(k) with match
- Tuition reimbursement
- Employee wellness programs
Join Allegiance and ensure pharmacy benefit data is processed with accuracy and care, helping clients receive the benefits they deserve.
Happy Hunting,
~Two Chicks…