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Pharmacy Analyst

Job in Taguig - Philippines
Company: Seven Seven Global Services - via Gigajob
Full Time position
Listed on 2019-02-14
Job specializations:
  • Pharmaceutical
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Pharmacy, Pharmacy Technician
Job Description & How to Apply Below
Position:  Pharmacy Benefits Analyst
Analyze benefit requests and secure all necessary data to ensure appropriate. Implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.

1. Work with Pharmacy Network Management, Client Management, and Pharmacy Network Management to implement necessary changes in the pharmacy claim adjudication system.
2. Develop client specific implementation plans and manage implementation processes in accordance with department protocol.
3. Develop and run macros in RxCLAIM to implement plan requests.
4. Maintain acceptable and appropriate quality levels and production turn around times
5. Adhere to all documentation standards within the department.
6. Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal department.
Position Requirements
Less than 1 Year work experience
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