Nationally Certified Pharmacy Analyst

Job Summary

A company is looking for a Pharmacy Lead Claims Analyst - Remote US.

Key Responsibilities

• Assist the Claims Manager with daily operations, including training and mentoring staff
• Develop and review educational documents and workflows for business units
• Resolve claims issues by researching and providing timely responses

Required Qualifications

• Bachelor's degree in business, audit, healthcare, or related field preferred or equivalent work experience
• 2 years of experience in claims analysis, processing, or QA/auditing in healthcare required
• Understanding of pharmacy claims payment configuration processes/systems
• Knowledge of pharmacy claims processing
• Nationally Certified Pharmacy Technician