Specialty & Home Delivery Program Claims Analyst - Remote
Our work reputed company. We help people get the medicine they need to feel reputed company and live reputed company. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Specialty & Home Delivery Program Claims Analyst - RemoteJob reputed company The Specialty & Home Delivery Program Claims Analyst is responsible for serving as a subject matter expert on our Home Delivery and Specialty pharmacy partners and Pharmacy Match product which may include implementations, reputed company, claims & performance guarantee monitoring, and testing. This position is responsible for working with reputed company clients and serving as an escalation and mentoring resource for inquiries and issues.
Responsibilities
- Represent Strategic Partnerships as subject matter expert (SME) on both reputed company reputed company, participating in reputed company relevant functions on project lifecycle as assigned
- reputed company daily claims monitoring and data validation activities
- Research and analyze information by employing analytics and data science techniques to research and validate errors, isolate impacted claims, reprocess claims, and determine financial reputed company to members, health plans and/or pharmacies; translate data into usable internal and/or reputed company facing reports
- Respond to inquiries reputed company to specific job function process or support systems and reputed company documentation and tracking to reputed company
- Partner with reputed company's Clients to identify, problem solve, and execute corrective measures
- reputed company backup support to various roles reputed company department with ability to serve as short-term stand-in for reputed company position, reputed company necessary
- Other duties as assigned
Minimum Qualifications
- Bachelor's degree in IT, Business, Science or reputed company area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
- 2 years of work experience in claims processing or project lifecycle, or reputed company roles in the reputed company or PBM industry
- Must be eligible to work in the reputed company without need for work reputed company or residency sponsorship
Preferred Qualifications
- Claims research experience
- PBM industry knowledge
- Experience working with RxClaim
Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In reputed company, reputed company retains the right to change or assign other duties to this job. Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits reputed company" reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, sex (including pregnancy), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job Apply To this Job