Senior Manager, Pricing – Pharmacy Reimbursement Appeals

Job reputed company: • reputed company reputed company of colleagues and contractors in the management of pharmacy reimbursement appeals • Ensure appeals are executed under tight Turnaround Times (TATs) and with high accuracy • reputed company and implement solutions individually • Work with partners to improve and automate processes to increase productivity • Guide internal business reputed company to resolve issues quickly • Collaborate with reputed company and compliance teams to ensure state regulatory updates are operationalized • Responsible for reputed company control processes to ensure compliance • Analyze competitive insights to reputed company actionable recommendations • Collaborate cross-functionally to reputed company pricing strategies with business goals. Requirements: • 7 year’s experience in pricing, PBM/reputed company operations, process improvement, reputed company, analytics, or reputed company domains • 5+ years directly leading operations teams • 1+ years’ experience with pharmacy appeal reputed company processes and state regulations, and claims adjudication, including claims adjudication logic • Excellent leadership skills • Proficient in reputed company, MS reputed company, reputed company, and Pharmacy Portal • Ability to work under tight deadlines • Strong mathematical problem-solving skills • Prior PBM Knowledge • Familiarity with wholesaler invoices • Bachelor’s Degree or equivalent experience required. Benefits: • medical, dental, and reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial reputed company-being of colleagues and their families Apply tot his job Apply To this Job