Job is Expired
Location: Alabama, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, West Virginia, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Tue, Aug 16, 2022
Job Summary
A health insurance and wellness company is in need of a Remote Senior Pharmacy Claims Professional.
Candidates will be responsible for the following:
- Ensuring compliance with all Federal and state requirements
- Creating, updating and maintaining various reports and policy/procedure documents
- Leading projects with internal/external areas related to required process or logic changes
Applicants must meet the following qualifications:
- 3 - 5 years of data analysis & problem solving regarding process and work flow concepts
- Aptitude in Microsoft Office applications, including Access, Word, Excel and PowerPoint
- Demonstrated proficiency working with SQL (via MS SQL Server, PL/SQL)
- Pharmacy or Medical claims experience
- Strong consultative skills and relationship building skills