Remote Overpayment Pharmacy Claims Lead

Location: Indiana, Kentucky, Ohio, Wisconsin

Compensation: To Be Discussed

Staff Reviewed: Fri, Nov 13, 2020

This job expires in 12 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company is seeking a Remote Overpayment Pharmacy Claims Lead.

Core Responsibilities Include:

  • Leading development and implementation of overpayment programs
  • Developing analytics and reporting needed to support the day-to-day business
  • Establishing solid metrics surrounding inventory management

Must meet the following requirements for consideration:

  • Bachelor's degree with 3+ years of Pharmacy Claims experience, or 8+ years of equivalent experience
  • 2+ years of project leadership &  implementation experience
  • Data Driven, strong business acumen, analytical and problem solving skills
  • Demonstrated ability to manage multiple projects and meet deadlines, and follow in a timely manner
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • Exceptional, organizational, interpersonal,  written, and oral communication and presentation skills