Senior Advisor – Rx Claims, Adjudication
Job in
Stamford, Fairfield County, Connecticut, 06925, USA
Listed on 2026-07-20
Listing for:
Jobtailor
Full Time
position Listed on 2026-07-20
Job specializations:
-
IT/Tech
IT Business Analyst, Business Systems & Technology Analysis
Job Description & How to Apply Below
Responsibilities
- Drive and complete the Business Architecture portion of business blueprints
- Establish guiding principles and define capabilities
- Perform functional analysis/definition and analyze/document the value chain
- Assess organizational impacts and identify adjudication defects
- Support resolution of high-impact claims issues and escalations
- Advise on claims platform configuration
- BA/BS degree in Information Technology, Computer Science or related field of study
- Minimum of 5 years of experience in business analyst and strategic planning, IT operations, IT leadership strategic and technical architecture
- Minimum of 3 years in organizational management related to information architecture
- Deep claims adjudication expertise
- Understanding of PBM operations, payer workflows, and claims adjudication platforms
- Ability to bridge business and technical discussions effectively
Position Requirements
10+ Years
work experience
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