Blue Cross And Blue Shield Association El Dorado Hills , CA 95762
Posted 1 month ago
Your Role
The Pharmacy Vendor Performance Management team supports Pharmacy Services in managing vendor relationships, tracking vendor escalations, running operational processes related to vendor management, overseeing vendor performance, and managing vendor contracting. The Operations Specialist, Experienced position will report to the Manager of Pharmacy Vendor Performance Operations. In this role you will be responsible for reviewing and reconciling invoices from our Pharmacy vendor partners, validating payment accuracy against vendor contracts, communicating with our Finance partners regarding invoice payment, tracking and maintenance of policy and procedure documentation, and supporting internal and external audits. This position works closely with the Pharmacy Services team, Pharmacy Finance, as well as external vendor partners where needed.
Your Work
In this role, you will:
Act as subject matter expert and review operational workflows, identifying problems and developing improvements, modifications, and enhancements
Develop and evaluate tools and materials that enhance operating efficiency and accuracy
Develop and generate reports for management review; notify appropriate department managers about issues and problems in operational workflow requiring immediate attention
Participate as a subject matter expert in the development of written guidelines and documents problems as needed
Run invoice reconciliation and approval processes for in scope vendors
Track invoice payments and develop reports to support Pharmacy purchase order creation and budgeting
Perform control testing activities for applicable financial controls
Support internal and external audits related to financial controls (e.g., SOC 1), this includes representing Pharmacy in audit meetings, reviewing the Pharmacy invoice reconciliation processes with auditors, and providing documentation / materials as requested and within required timelines
Create, track, and maintain policy and procedure documentation related to the Pharmacy invoice reconciliation processes
Act as a back up to the Pharmacy Security Coordinator
Perform special projects as assigned
Blue Cross And Blue Shield Association