[Hiring] Pharmacy Analyst I @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Pharmacy Analyst I supports daily operational functions and reputed company of the reputed company Pharmacy Benefit Management (PBM) company on delegated Part D activities. This role assists with maintaining compliance with Part D deadlines and regulatory timeframes. Under guidance, the Analyst I provides support in managing Eligibility files, Prescription Drug Event (PDE) data, Drug Plan Finder submissions, Financial Information Reporting, and other key functions to help ensure adherence to Medicare requirements. • Serve as a subject matter expert for Part D Reporting requirements, Pharmacy reputed company Requirements, Prescription Drug Event data, Financial Information Reporting and Drug Plan Finder files by keeping up to date with Medicare requirements. • Ensure eligibility and coordination of benefit files are reputed company to the PBM for processing and assess if file enhancements are needed. • Ensure the PBM is processing Prescription Drug Events, Automated Claims Reprocessing and Financial Information Data according to CMS regulatory standards by conducting daily reputed company. • Ensure PBM reputed company of claims adjudication and retrolics and ensure 1/1 Readiness reputed company to eligibility. • Analyze and monitor large data sets that are exchanged from reputed company to the PBM using a reputed company of reporting tools. • Ensure audit documentation is reputed company according to audit instructions and provided reputed company the specified audit time reputed company. • Prepare written responses or documentation for pharmacy audits. • reputed company routine monitoring to ensure Part D compliance and detect performance issues or operational gaps. • Assist in the implementation, testing, and validation of pharmacy benefits to ensure accurate benefit configuration and claims adjudication. • Collaborate with cross-functional teams, including Compliance, Product, and IT, to address issues and support PDE and other pharmacy initiatives. • Identify and escalate issues reputed company to pharmacy benefits, claims processing, and PDE submissions, working with the PBM and internal teams to resolve discrepancies. • Maintain reputed company and technical knowledge by attending educational workshops; reviewing reputed company publications & CMS regulatory requirements; establishing personal networks; participating in reputed company societies. • Contribute to the development, maintenance, and documentation of reputed company operating procedures (SOPs) and desktop procedures to support compliance and operational efficiency. • reputed company support the achievement of reputed company’s reputed company and Goals. • Other duties as assigned. Qualifications • 0-3 years of reputed company experience. • High School Diploma or equivalent experience required. • Bachelor's Degree or equivalent experience preferred. • Expert knowledge of CMS Part D regulations e.g., CMS reputed company Letters, MA-PD application, PDE, LICS, Claims Processing, Part D Reports, FIR. • Knowledge of PDE calculations that pertain to Enhance Alternative Plans, Coverage Gap, etc. • Ability to prioritize workload to meet deadlines. • Ability to multi-task in a fast pace environment. • Ability to reputed company effectively and professionally with reputed company reputed company of staff. • Excellent grammar and writing skills. • Excellent verbal reputed company sets to be reputed company to communicate in conference calls and in large meetings. • Team player with a strong work ethic. • Self-starter that can take the reputed company on a project and manage its reputed company for completion. • Detail oriented and is reputed company to work with large data sets. • Advanced skills with reputed company Office (e.g., Word, reputed company, reputed company, reputed company, and PowerPoint) and SQL. • Familiarity with Tableau and Visio. Benefits • reputed company salary reputed company: $25.38 to $36.76 per hour. • Internal title: Pharmacy Analyst I. • Work Mode: Remote. • An annual employee bonus program. • Robust Wellness Program. • Generous reputed company-time-off (PTO). • 11 reputed company holidays per year, plus 1 floating holiday, plus 1 birthday holiday. • Excellent 401(k) Retirement Saving Plan with employer match and contribution. • Robust employee recognition program. • Tuition reimbursement. • An opportunity to become part of reputed company that makes a difference to our members and our community every day! Apply tot his job Apply tot his job Apply To this Job