Senior Analyst, Payer Compliance

November 13

Apply Now

Receive Emails with Similar Jobs

RITE AID

WebsiteLinkedInAll Job Openings

Retail Pharmacy • Telehealth • Pharmacy Benefit Management • Health Management

10,000+

💰 Debt Financing on 2023-10

Description

• Obtain, provide, analyze and evaluate data for Payer Compliance department • Manage Internal Claim Review process • Analyze pre-dispensed prescription claim level data • Identify patterns of post-dispensed prescription billing errors • Compile and communicate findings to leadership • Collaborate to propose system enhancements • Work with field leaders, audit companies, and PBM’s to resolve audit issues • Support special projects and produce routine and ad hoc reports

Requirements

• Bachelor Degree in Business, Finance, or Information Technology • Advanced Microsoft Excel experience including VBA and Macro code • Experience with a computer programming language such as xml, SQL, HTML or PHP • Tableau experience • 5 years of experience in Financial or Operational Analysis • 5 years of experience in PBM, Healthcare or Retail Pharmacy