Provider Services Pharmacy Analyst

Position: Provider Services Pharmacy Analyst Role
Enhance your career with Alberta Blue Cross as a Pharmacy Analyst in a flexible work arrangement. Your expertise in claims administration will help maintain high standards of customer service.

In this role, you will oversee the full cycle of pharmacy claim processing while supporting providers with submissions and resolving inquiries. A detail-oriented mindset and problem-solving skills are vital for this position, ensuring that services align with our members' healthcare needs.

Key Responsibilities:

• Execute accurate processing of high-cost drug claims

• Conduct thorough QA checks on claim adjudication

• Guide pharmacy providers through claim processes

• Perform system testing to maintain operational integrity

• Analyze inquiries to provide effective solutions

Requirements:

• Proven track record in customer service excellence

• Detail-oriented with strong decision-making skills

• Competent in Microsoft Office Suite

• Knowledge of drug plan design and adjudication

• Adaptable and capable of working independently

Utilize your analytical skills to improve pharmacy claims processing at Alberta Blue Cross.
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