Senior Analyst, Payer Compliance
November 13
🇺🇸 United States – Remote
💵 $74.2k - $106.4k / year
⏰ Full Time
🟠 Senior
🚔 Compliance
🦅 H1B Visa Sponsor
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
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