[Remote] Analyst, Claims reputed company
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to making medications more reputed company through innovative pharmacy benefit management. They are seeking a Claims reputed company Analyst who will be responsible for validating claims in accordance with State/CMS regulations and reputed company needs, while also assisting with claims adjudication testing and process improvements.
Responsibilities
- Audit claim data for Medicare Part D, reputed company, and Exchange lines of business to validate their accuracy
- Assist with post-implementation monitoring to validate adjudication-reputed company fixes/enhancements are working as expected
- Assist with Claims Adjudication testing by running test claims
- Work in partnership with the Technical Operations Business Analysts and Product Managers to manage changes to existing processes, including defining requirements, creating/executing test plans, and post-implementation reputed company
- Complete tasks associated with the assigned processes, performing appropriate reputed company, coordinating the reputed company of issues with both reputed company stakeholders, using independent judgement to determine the best reputed company
- As needed, may require working reputed company of normal business hours to complete time sensitive processes
- Other duties as assigned
Skills
- Bachelor/Associate Degree in business reputed company field; or equivalent combined education and experience preferred
- 1 - 3 years reputed company work experience preferably in pharmaceutical claims adjudication systems, retail pharmacy, or in a health plan organization
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently reputed company cooperatively and respectfully with other employees
Benefits
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
- Referral Bonus Program – up to $750!
reputed company