Department Specialist III - Third Party Host Administrator Albertsons - 3.5 Boise, ID Job Details Full-time 1 day ago Benefits Health insurance Dental insurance 401(k) Paid sick time Qualifications Quality control corrective actions Optimizing workflow processes Performance dashboard reports Performance monitoring Data integrity assurance Regression testing implementation Customer communication Operational analysis Performance improvement leadership Pharmacy Information Systems (PIS) Microsoft Excel Microsoft Outlook Process audits Requirements design Managed care Achieving HIPAA compliance Automation Data validation techniques Medical software Customer service Managed care organization experience Claims adjudication Defect analysis Software implementation Process design HIPAA User training (technical support) Team development Data integrity and documentation Technical solutions implementation Full Job Description Why choose us? Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand! At Albertsons Companies, we are looking for someone who's not just seeking a job, but someone who wants to make an impact. In this role, you'll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that's constantly evolving. Bring your flavor Building the future of food and well-being starts with you. Join our team and bring your best self to the table. Role Overview The Third-Party Host Administrator is responsible for maintaining the Third-Party billing setup in the EPS software system which enables pharmacies to transmit compliant claims. They will assist the Managed Care Manager(s) in improving cost containment policies and compliance goals.

Main responsibilities:

Configure, maintain, audit, and optimize complex third party plan records and adjudication parameters within the EPS software system while ensuring compliance with HIPAA, NCPDP, and organizational standards. Provide Level III pharmacy systems support as the primary escalation point for complex third party billing, adjudication, and configuration issues that require advanced technical analysis and resolution. Lead User Acceptance Testing (UAT), regression testing, and validation efforts for major system enhancements, upgrades, and third party implementations. Serve as a subject matter expert (SME) for third party plan configuration, reimbursement processes, and pharmacy systems functionality. Analyze reimbursement trends, claim adjudication outcomes, and operational data to identify opportunities for revenue optimization, compliance improvement, and process efficiencies. Develop, maintain, and automate reports, dashboards, and analytical tools that support Managed Care reimbursement strategies, operational performance monitoring, and executive decision-making. Partner with Managed Care leadership, Pharmacy Operations, IT, Accounts Receivable, and PBMs to design and implement solutions that improve reimbursement performance and operational effectiveness. Lead audits of third party plan records, identify root causes of adjudication issues, and drive corrective actions to improve data integrity and billing accuracy. Evaluate, recommend, and support implementation of EPS system enhancements, process improvements, and automation opportunities. Mentor DSII team members by providing technical guidance, training, and support on third party plan setup, troubleshooting, testing methodologies, and best practices. Develop business requirements, process documentation, and testing strategies for new third party programs, payer initiatives, and system enhancements. Act as the departmental lead for complex projects, cross-functional initiatives, and escalated operational issues impacting reimbursement, compliance, or pharmacy system performance.

Qualifications:

Preferred pharmacy experience including managed care and third-party billing Preferred knowledge of EPS pharmacy systems software Preferred knowledge of Linux system operating systems Knowledge of Pharmacy Benefit Managers. Knowledge of NCPDP Standards and Federal & State legislation affecting pharmacy trends. Proficiency in Microsoft Office (Outlook, Excel, Word, Access). Excellent written and oral communication skills. Outstanding customer services skills Problem solver Ability to multi-task with strong attention to detail. Self-starter, able to work with minimum supervision. We also provide a variety of benefits including: Competitive wages paid weekly

• Access to up to 50% of your earned wages before payday, via our partnership with Stream Associate discounts Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!) Time off (vacation, holidays, sick pay). For eligibility requirements please visit myACI Benefits Leaders invested in your training, career growth and development An inclusive work environment with talented colleagues who reflect the communities we serve Our Values - Click below to view video: ACI Values A copy of the full job description can be made available to you. #LI-AG1 Albertsons Companies is at the forefront of the revolution in retail. Committed to innovation and fostering a culture of belonging, our team is united with a unique purpose: to bring people together around the joys of food and to inspire well-being. We want talented individuals to be part of this journey! Locally great and nationally strong, Albertsons Companies (

NYSE:

ACI) is a leading food and drug retailer in the U.S. We operate over 2,200 stores, 1,732 pharmacies, 405 fuel centers, 22 distribution facilities, and 19 manufacturing plants across 34 states and the District of Columbia. Our well-known banners include Albertsons, Safeway, Vons, Jewel-Osco, ACME, Shaw's, Tom Thumb, United Supermarkets, United Express, Randalls, Albertson's Market, Pavilions, Star Markets, Market Street, Carrs, Haggen, Lucky, Amigos, Andronico's Community Markets, King's, Balducci's, and Albertson's Market Street. Our vision is to be a retail leader admired for national strength with deep local roots, offering an easy, fun, friendly, and inspiring experience, no matter how customers choose to shop with us. We celebrate the rich diversity of the communities we serve, and strive to create a workplace where everyone has equal access to opportunities and resources, and can fully contribute to their and our company's success. Bring your flavor Building the future of food and well-being starts with you. Join our team and bring your best self to the table. Disclaimer The above statements are intended to describe the general nature of work performed by the employees assigned to this job and are not the official job description for the position. All employees must comply with Company, Division, and Store policies and applicable laws. The responsibilities, duties, and skills of personnel may vary within store and/or from store to store and the official job description will be provided during the application process. Albertsons is an Equal Opportunity Employer This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, gender identity/expression, sexual orientation, or on any other basis prohibited by law. Consistent with applicable state and local law, the Company will consider for employment qualified applicants with arrest and conviction records. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at 1-888-255-2269(option #4).