Lead Benefit Analyst

Job Summary

A company is looking for a Lead Benefit Analyst who will manage pharmacy benefit implementations and maintenance.

Key Responsibilities

• Lead projects and engage with clients to guide discussions and support implementations
• Analyze benefit requests and implement requirements within the RxCLAIM adjudication system
• Perform quality assurance testing and mentor team members while ensuring adherence to client performance guarantees

Required Qualifications

• High School Diploma / GED or equivalent work experience
• 3+ years of healthcare experience
• 2+ years of experience with the RxCLAIM adjudication system
• Advanced proficiency in claims processing and issue resolution
• Proficiency in Microsoft Word and Excel