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Role overview

The Operations Analyst will manage, support, and continually maintain electronic data interchange (EDI) workflows for clients and third-party administrators. This role sits within operations and focuses on batch file handling, automated job monitoring, file and data issue investigation, and exception resolution so that medical eligibility, member details, and claim/deductible accumulator balances remain aligned between VytlOne’s PBM platform and client systems. The position reports to the Senior Manager of Client Integration and is expected to meet service commitments that support strong client satisfaction.

About the organization

VytlOne is described as the only independent, fully integrated total pharmacy solutions partner in the United States. The company supports hospitals, health systems, health centers, and employer partners through customized pharmacy management, 340B expertise, specialty pharmacy, and PBA/PBM solutions. Its culture emphasizes integrity, authenticity, teamwork, innovation, and meaningful community impact.

Work location

This is a remote position for candidates based in the Continental United States.

What you will do

Manage daily and weekly client batch file updates in coordination with account managers, implementation teams, and clients.
Investigate member, file, and data issues through research, processing, manual corrections, and analysis, then resolve integration and data quality problems.
Apply working knowledge of the PBM platform, file integration standards, application behavior, and client-specific setups.
Use knowledge of pharmacy benefit administration, eligibility, accumulators, and system configuration to support accurate processing.
Handle routine operational work while consistently meeting standards for quality, service, productivity, and customer support.
Follow Ethical Business Conduct requirements and the company compliance program.
Complete assigned training within required timeframes.
Show professionalism and resilience when dealing with complex and urgent tasks.
Encourage teamwork and share best practices across the group.
Maintain regular attendance in line with company policy.
Carry out additional job-related duties as needed.

Qualifications and experience

Applicants should have a high school diploma or GED. An associate degree, or an equivalent mix of education and experience, is also acceptable. The role calls for at least 2 years of progressive experience in one or more of the following areas: PBM operations, claims processing, eligibility or accumulator processing, client integrations, health plan or TPA operations, and data operations/reporting. Candidates should also bring proven analytical, communication, and organizational abilities.

Skills and knowledge

The ideal candidate should be comfortable with operations analysis and PBM-related workflows, and should be able to work across internal and external partners to research issues through to resolution. Strong multitasking, documentation, and process improvement skills are important, along with solid computer proficiency in Windows, Microsoft Excel, Access, Word, and Outlook. The job also requires the ability to learn new systems quickly, gather and document customer requirements, share knowledge effectively, and understand electronic file exchange (EDI) files.

Benefits

Access to mental health and wellbeing resources
Blue Cross Blue Shield PPO coverage nationwide with an employee-friendly plan design, including an $850 annual individual medical deductible and $25 office visit copays
Low biweekly premium contributions
Company-paid basic life and accidental death & dismemberment coverage
Company-paid short-term and long-term disability insurance
Rx, dental, vision, optional benefits, and flexible spending account options
Employer-matched 401(k) plan
Industry-leading paid time off
Supportive, collaborative, and innovative team environment

Additional information

The company states that it offers a diverse and inclusive work culture, a flexible work model, and a mission-driven environment focused on improving healthcare outcomes. It also notes that it is an equal opportunity employer, including for disability and veterans.

Operations Analyst