Pharmacy Claims Analyst

Job Summary

A company is looking for a Pharmacy Claims Analyst for a fully remote position based in Phoenix, AZ.

Key Responsibilities

• Analyze, build, and maintain pharmacy benefit plans, ensuring accuracy and compliance
• Provide cross-functional support by communicating benefit decisions and participating in audits and process improvements
• Lead pharmacy benefit operations and projects, collaborating with management to meet performance goals

Required Qualifications

• High School Diploma or GED required; Associate's degree highly preferred
• Minimum of 1 year of pharmacy/Rx claims experience required
• Proficiency in Microsoft Office, especially Excel, required
• Experience using Pivot Tables and/or VLOOKUP's required