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E2E RxClaims Analyst

1 month ago


Minneapolis, Minnesota, United States Genesis10 Full time
Genesis10 is seeking a E2E PBM Test Analyst for a contract with our client in Minneapolis, MN.

Job Description:

Rx 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.

Key Responsibilities:
  • Medicare Pharmacy Payment Plan (M3P)
Required Basic Qualifications:
  • This position is required to complete M3P concurrent client testing for 30+ new/existing clients.
  • Risk: Inability to manage and execute concurrent client testing for M3P, impact to ORx and plan sponsor readiness to be CMS compliant for 10/1 and 1/1, member abrasion.
  • Advanced knowledge of PBM operations, RxCLAIM claim adjudication, eligibility and benefits; experience with quality and/or testing programs; intermediate Microsoft office and project management skills.
Compensation:

Hourly W2 pay rate $

We have access to additional contract, contract-to-hire, and direct hire positions with various rate ranges.

If you have the described qualifications and are interested in this exciting opportunity, apply today

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.

For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client. Benefits of Working with Genesis10:

Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years.

The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.

Access to an experienced, caring recruiting team (more than 7 years of experience, on average.)

Behavioral Health Platform

Medical, Dental, Vision

Health Savings Account

Voluntary Hospital Indemnity (Critical Illness & Accident)

Voluntary Term Life Insurance

401K

Sick Pay (for applicable states/municipalities)

Commuter Benefits (Dallas, NYC, SF)

Remote opportunities available

For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at our website.

Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Genesis10 is an Equal Opportunity Employer/Minorities/Female/Disabled/Veteran

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