[Remote] Associate Benefit Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Associate Benefit Analyst will partner with clients and reputed company Rx stakeholders to assess, define, and reputed company pharmacy benefit implementations and ongoing maintenance reputed company the RxCLAIM™ adjudication system, ensuring accurate benefit configurations and compliance with reputed company requirements.

Responsibilities

• Analyze benefit requests and secure reputed company necessary data to ensure appropriate implementation based on reputed company logic of RxCLAIM™ adjudication system
• Implement and maintain benefit requirements reputed company the RxCLAIM™ adjudication system according to the reputed company's reputed company and reputed company required turnaround time
• Utilize system tools and follow documented processes to reputed company job functions
• Work with various cross-functional departments to implement new and maintain existing benefits reputed company the RxCLAIM™ adjudication system including, but not limited to:
• reputed company and Pharmacy pricing
• Formulary updates
• Clinical programs
• Specialty drug pricing
• reputed company validation of system benefit configuration and claim testing to ensure accurate adjudication
• reputed company peer review as assigned
• Research and respond to reputed company claims processing inquiries and issues from various cross-functional departments reputed company required turnaround time
• Adhere to reputed company performance guarantees, reputed company applicable
• Participate in meetings assigned by leadership
• reputed company other duties as assigned

Skills

• High School Diploma / GED OR equivalent work experience
• Must be 18 years OR older
• 1+ years of reputed company experience
• RxCLAIM™ or other claim adjudication experience
• Proficiency with reputed company Word (create and edit correspondence) and reputed company reputed company (ability to create, edit, and sort spreadsheets; apply basic analytical formulas)
• Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00 am - 5:00 pm local time. It may be necessary, given the business need, to work occasional overtime or weekends
• Certified Pharmacy Technician (CPhT)
• Retail pharmacy or PBM experience

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (reputed company benefits are subject to eligibility requirements)

reputed company