Pharmacy Payer Recovery Analyst

Job Details

• Level: Experienced
• Job Location: TRG Head Quarters - La Grange, KY
• Position Type: Full Time
• Education Level: Bachelor's Degree
• Salary Range: $47,000.00 - $47,000.00 Salary/year
• Travel Percentage: None
• Job Shift: Day
• Job Category: Pharmaceutical

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 60 health plans, including many of the top 20, and representing more than 160 million lives, Machinify brings together a fully configurable and content‑rich, AI‑powered platform along with best‑in‑class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

This position will be hybrid, with opportunity to work full remote after training as well as in our La Grange, KY office.

At Machinify, we're constantly reimagining what's possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Pharmacy Payer‑to‑Payer team, you will manage the pharmacy claim recovery process on behalf of Rawlings' legacy clients.

• Collaborate with payers to establish and enhance reconciliation processes.
• Think critically and analyze outcomes to support the development of process improvements that increase the effectiveness of recovery efforts.
• Develop and generate team reporting.
• Develop and maintain process documentation.

• Bachelor's degree or 2 – 3 years of directly applicable experience
• Excellent work ethic
• Strong analytical skills with experience organizing and summarizing data and preparing analysis and recommendations
• Critical thinking, creativity and problem‑solving skills; ability to propose viable solutions
• Must work well on a team and individually with the ability to plan and schedule activities to accomplish objectives in a dynamic environment
• Experience with MS Office Suite, specifically Pivot Tables and V‑Lookup
• Ability to write, edit and understand SQL SELECT queries
• Experience with lean and Six Sigma process development concepts preferred
• Experience in the pharmacy benefit management, health insurance, and/or accounts receivable management industries preferred

After 3 months: You will have a strong understanding of the role, begin building relationships and collaborating with peers, develop effective time and priority management, receive initial feedback about your performance and are using it to improve, and have gained confidence in your abilities.

After 1 year: You have mastered the tasks and responsibilities of the position, established a strong network of internal relationships, are recognized as a key collaborator, have been entrusted with greater responsibility, and see opportunities for career progression and personal development.

$47,000 annual salary with significant bonus opportunity. This is an exempt position.

• PTO, Paid Holidays, and Volunteer Days
• Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
• Tuition Reimbursement
• Eligibility for company‑paid benefits including life insurance, short‑term disability, and parental leave
• Remote and hybrid work options

At Machinify, we're reimagining a simpler way forward. This begins with our employees. We are innovators who value integrity, teamwork, accuracy, and flexibility. We do the right thing and we listen to the needs of our clients and their members. As tenured experts with unmatched experience, we champion diverse perspectives that help us better understand and serve our clients.

Our values come to life through our culture. We embrace flexible working arrangements that allow our employees to bring innovation to life in the way that best suits their productivity. We work cross‑functionally, abandoning silos, to bring…