3rd Party Analyst:

Brockton Massachusetts

PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is one of the nation's largest institutional pharmacy companies. PharMerica operates more than 100 institutional pharmacies in 45 states and serves nursing facilities that care for approximately 350,000 patients.



Essential Functions:

  • Interact and build relationships with 3rd party entities including Pharmacy Benefit Managers (PBM’s), pharmacy claim switches, and other vendors
  • Configure billing parameters within proprietary software to send online transactions to and from 3rd party insurance payers in accordance with HIPAA named standards set forth by the National Council for Prescription Drug Programs (NCPDP)
  • Review 3rd party payer sheets for specific configuration details. Construct telecom standard field specific templates for each payer
  • Communicate with Switching company to construct external pre and post claim edits
  • Send and receive contracts on behalf of the Director of 3rd Party Network Services
  • Serve as Subject Matter Expert (SME) on cross functional work groups
  • Provide operational support and troubleshooting to resolve both internal and external inquiries
  • Ensure all industry and/or payer related changes are communicated throughout the organization
  • Support project teams in the development of functional requirements
  • Query and analyze small to medium sums of claim data. Summarize and report findings to executive management or other internal teams
  • Performs other tasks as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.  Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Minimum Qualifications:

Education/Learning Experience:

  • Required:   HS Diploma
  • Desired: Associate's or Bachelor’s degree

Work Experience:

  • Required: 1+ yrs experience as a Pharmacy Technician, or pharmacy billing, or other related experience.


  • Required:
  • Excellent verbal and written communication skills
  • Excellent time management skills; ability to work independently and manage multiple/competing priorities
  • Proven ability to work with a high degree of accuracy and attention to detail
  • Proficient in all Microsoft  Word and Outlook
  • Demonstrated analytical skills, technical knowledge and creative problem solving techniques
  • Desired:
  • Query building experience through use of Microsoft Access or other proprietary systems
  • Familiarity with long term care pharmacy or facility billing practices



Accelerate Your Career with PharMerica!

Basic Qualifications