| Pharmacy Benefit Management || AZ || Onsite at Remote, Remote, USA |
| Email: [email protected] |
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http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3046461&uid=0f211f814a0345b68dc35fa11e48c050 From: Aditya Sharma, GVR Infotek [email protected] Reply to: [email protected] Job Description Pharmacy Benefit Management Phoenix, Arizona(Onsite) Highly preferred: 3-4 years of experience with Rx claims or PBM (Pharmacy Benefit Management) Background in medical claims or related field BCBS of Arizona. The interviews are onsite in Phoenix.. and only PERFORMS JOB FUNCTIONS UNDER CLOSE SUPERVISION OR PEER REVIEW Analyze PBM prescription claim and other applicable systems for medication benefit quality and accuracy Support internal and external customers with information on benefits applicable to medication claims Perform, evaluate, and assist in defining and improving the quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines. Administer, interpret, and maintain current working knowledge of required BCBSAZ systems, procedures, forms and manuals Communicate recommendations in regard to medication claim processing and benefit decisions. Monitor and investigate reported plan set up system issues Participates in quality initiatives; including functions that support audits, reporting, evaluation of quality opportunities and concerns, and creation and implementation of corrective actions as requested. Resolve escalated member issues Research & provide recommendations for accumulations issues Logs all benefit setup issues on error tracking reports Ideal Candidate Profile Experience: Highly preferred: 3-4 years of experience with Rx claims or PBM (Pharmacy Benefit Management) Background in medical claims or related field Technical Skills: Strong Excel or Excel-like tool proficiency VLOOKUPs Filtering and updating spreadsheets Using basic formulas in spreadsheets Comfortable handling large datasets quickly and accurately Nice to Have: Data entry experience with an analytical mindset Experience in Rx claim/PBM work Please share resume at [email protected] Keywords: card Pharmacy Benefit Management || AZ || Onsite [email protected] http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3046461&uid=0f211f814a0345b68dc35fa11e48c050 |
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| 07:27 AM 13-Jan-26 |