Looking for Rx Claims SME || Hybrid Prairie - MN || Contract
Jobs via Dice
Title: Rx Claims SME Location: Hybrid Prairie - MN Duration: 6-12 months Responsibilities and Skills: 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. Bhakti Chaudhari #J-18808-Ljbffr Jobs via Dice
Vacancy posted 2 days ago
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Eden Prairie, MN9 hours ago - ...Jobs via Dice is seeking an Rx Claims SME for a hybrid role in Eden Prairie, Minnesota. The candidate will manage claims processing, facilitate discussions with Product Owners, and possess deep knowledge of PBM concepts and drug pricing. Strong skills in data validation...Claims
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