Job Description
RxCompass Claims Operations Analyst
Position Overview
The Claims Operations Analyst is responsible for supporting claims processing, loading, quality review, reconciliation, aging visibility, and issue resolution across RxCompass and Variable Copay vendor programs. This role will process and review incoming vendor claims submissions, validate file accuracy, identify discrepancies, support claims dispute resolution, and maintain clear visibility into claim status throughout the full claims lifecycle.
Reporting to the Supervisor, Data & Analytics, RxCompass/VCP , this position will work closely with Data & Analytics, Finance, Business Integration, Vendor Management, Operations, and external vendors to ensure claims are processed accurately, timely, and in accordance with defined workflow expectations.
The Claims Operations Analyst plays a key role in preventing claims backlogs, supporting accurate client billing and vendor payment, main...