Senior Pharmacy Claims AnalystVirtualVocations • Lincoln, Nebraska, United States
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Senior Pharmacy Claims Analyst
VirtualVocations • Lincoln, Nebraska, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Senior Business Systems Analysis Professional.
Key Responsibilities
Serve as a subject matter expert for pharmacy COB processes and claims processing logic
Analyze, monitor, and enhance processes and adjudication logic for pharmacy COB point-of-sale claims
Lead projects related to process or logic changes across internal and external areas
Required Qualifications
Proven experience with Coordination of Benefits (COB) processes and pharmacy claims adjudication
Familiarity with CMS Prescription Drug Manuals and ability to interpret federal and state requirements
3-5 years of experience in data analysis and process optimization
Proficiency in Microsoft Office applications (Access, Word, Excel, PowerPoint)
Ability to manage multiple priorities and thrive in a fast-paced environment
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