Technical Lead

Job Summary/Responsibilities:

1. 4 years' experience in healthcare.
2. Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.
3. Excellent communication (Verbal and Written) and collaboration skills.
4. Superior organization, project management, and prioritization skills.
5. Courteous and professional demeanor with the desire and ability to work as a team.
6. Ability to interact and influence with senior leadership of the organization.
7. Understanding of Federal and State agencies and their role in healthcare legislation.
8. Knowledge in Health Plan benefit structures.
9. Experience with SQL and Queries is preferred.
10. Strong analytical skills and attention to detail. Ability to define problems, collect data, establish facts, and draw valid conclusions.

Required Skills:

• RX claims

Preferred Skills:

• Knowledge and experience with Clinical Operations in the Medicaid and Medicare environment.

What are the top 3 Must Haves for this role?

1. PBM
2. Rxclaims
3. Manual Testing