Operations Specialist, Experienced

at  Blue Shield of California

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

QUALIFICATIONSYOUR KNOWLEDGE AND EXPERIENCE

• Requires a bachelor’s degree or equivalent experience
• Requires at least 3 years of prior relevant experience
• Strong knowledge of pharmacy operations and administrative services
• Strong financial and organizational skills
• Strong knowledge of Microsoft (MS) Excel; proficiency at the intermediate level (e.g. pivot tables, macros, etc.)
• Strong verbal and written communication skills that exhibit a solution-oriented approach
• Experience building and managing relationships across the organization as well as with external business partners

PHYSICAL REQUIREMENTS:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

JOB DESCRIPTIONYOUR 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.

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 assigne