Analyst, Claims Quality- remote

Found in: Jooble US O C2 - 2 weeks ago


Naperville IL, United States Optime-Tech LLC Full time

PBM (Pharmacy Benefit Management) Analysts with Rx claim adjudication, eligibility, benefits, testing experience.

PAYRATE: Max W2 rate is around $45/hr. Looking for W2 candidates only

100% TELECOMMUTE.

OVERVIEW: OptumRx Core PBM Operations role is critical to M3P initiative. This role is responsible for development and execution of end-to-end client testing that must be completed in 2024.

METRICS: This position is required to complete M3P concurrent client testing for 30+ new/existing clients.

PROJECT: Medicare Pharmacy Payment Plan (M3P)

SKILLS:
• Advanced knowledge of PBM operations
• RxCLAIM claim adjudication
• Eligibility and benefits
• Experience with quality and/or testing programs
• Intermediate Microsoft office
• Project management skills


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