Rx Claims SME - W2 Only
Saransh Inc
Role: Rx Claims SME Location: Eden Prairie - MN; hybrid W2 Position Name Benefit Administration-PBM Pharmacy Claims JD: In depth knowledge on RxClaim Adjudication, claims processing, MedD claims Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR) Knowledge on business & plan configuration and plan option knowledge Facilitate discussion with Product Owners, Business and clarify business requirements High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/reporting tools Years of Experience: 10.00 Years of Experience #J-18808-Ljbffr Saransh Inc
Vacancy posted 3 days ago
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