Pharmacy Claims Analyst

Job Summary

A company is looking for a Pharmacy Reimbursement / Claims Analyst to support pharmacy claims review and reimbursement analysis.

Key Responsibilities

• Review pharmacy claims and reimbursement data for discrepancies and missed revenue opportunities
• Analyze payment trends and investigate adjudication results for potential recovery opportunities
• Support the full recovery process, including documentation and tracking progress toward resolution

Required Qualifications

• Experience in pharmacy reimbursement analysis or pharmacy claims analysis
• Strong understanding of pharmacy claims and reimbursement logic
• Experience in reviewing claim/payment data and identifying discrepancies
• Strong analytical and documentation skills
• Detail-oriented and able to work independently