Healthcare Claims Analyst

Job Summary

A company is looking for a Healthcare Claims Analyst (Pharmacy / PBM Focus).

Key Responsibilities:

• Analyze PBM prescription claims and systems for medication benefit quality and accuracy
• Support internal and external stakeholders with benefit and claim information
• Identify and resolve issues with plan setups and accumulations

Qualifications:

• Healthcare or PBM industry experience required
• Excel/spreadsheet proficiency is essential
• Background in medical or pharmacy claims preferred
• Ability to think analytically and troubleshoot issues
• Experience working with Rx claims or PBM systems is a big plus