Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $46.35 per hour based on full-time employment
- Comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401k contribution
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Supportive and inclusive work environment focused on health equity
- Flexibility to manage extended hours during peak seasons while still maintaining work-life balance

What to Expect (Job Responsibilities):
- Interface with M&R and IFP for issue resolution related to Pharmacy Benefits Management
- Remediate inappropriately rejected claims and conduct root cause analysis
- Manage projects and identify areas for improvement to proactively support clients
- Confirm issues, document findings, request reports, and close the loop on inquiries
- Maintain knowledge of RxClaims, Prior Authorization process, and Part D Transition policy

What is Required (Qualifications):
- 2+ years of experience in Pharmacy Benefit Management
- 2+ years of experience with issue resolution
- 1+ years of experience with RxClaims
- 1+ years of experience with the Prior Authorization process
- Intermediate proficiency with Microsoft Office products including Excel, Word, and Outlook

How to Stand Out (Preferred Qualifications):
- Experience in pharmacy claim processing
- Prior work experience in a retail pharmacy setting
- Demonstrated skills in process improvement, workflow, benchmarking, or evaluation of business processes

#HealthcareServices #PharmacyBenefits #RemoteWork #CareerGrowth #EqualOpportunityEmployment

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