Service Operations Analyst jobs in United States
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True Rx Health Strategists · 4 hours ago

Service Operations Analyst

True Rx Health Strategists is redefining pharmacy benefit operations with innovation, precision, and care. As a Service Operations Analyst, you will ensure claims processes are flawless, eligibility data is accurate, and integrations run smoothly while tackling complex challenges and turning insights into scalable solutions.

ConsultingHealth CareInsurancePharmaceutical

Responsibilities

Own the Issue Lifecycle: Investigate, resolve, and document operational issues from intake to resolution—partnering with internal teams and external vendors to keep service delivery seamless
Analyze & Audit: Use SQL and data tools to identify trends, systemic issues, and opportunities for improvement
Communicate Clearly: Provide transparent updates and maintain detailed documentation for stakeholders and partners
Improve Processes: Recommend and implement long-term solutions, automation, and system enhancements to prevent recurring issues
Collaborate Cross-Functionally: Work with Clinical, Data Architecture, Integrations, Benefits Configuration, and more to deliver effective solutions
Support Vendor Partnerships: Engage with adjudication software vendors to ensure accurate claims processing and system performance

Qualification

SQLHealthcare operationsClaims processingRoot cause analysisDetail orientationCommunicationCollaboration

Required

Bachelor's in Business, Healthcare Management, Information Systems, or related field (or equivalent experience)
1+ year in PBM, healthcare operations, or health tech preferred; familiarity with claims processing, eligibility, and accumulator logic
Proficient in SQL and comfortable querying large datasets
Strong root cause analysis and problem-solving skills
Ability to translate technical details into clear, actionable updates
Proven success working across technical and non-technical teams
Commitment to accuracy and service quality

Benefits

Health, Vision, & Dental Insurance
Health Savings Account
Wellness Incentives
401k Matching
Employer-Provided Life Insurance
Flex Time
Hybrid/Fully Remote Work
Paid Time Off
8 Paid Holidays

Company

True Rx Health Strategists

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Today’s PBM thinking is backwards. Instead of a patient-first approach, patient needs seem to be prioritized last.

Funding

Current Stage
Growth Stage

Leadership Team

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Mark Williams
CEO
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Jesse McDonald
Chief Operating Officer
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Company data provided by crunchbase