Remote Jobs
Eligibility Analyst - Remote
This job is now closed
Job Description
- Req#: R-14420
Employer Industry: Pharmaceutical Benefit Management (PBM)
Why consider this job opportunity:
- Salary up to $85,000.00 based on experience and skills
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience
- Involvement in meaningful work that helps people access necessary medication
What to Expect (Job Responsibilities):
- Serve as subject matter expert representing eligibility processes for new and existing clients and department projects
- Act as primary contact for external clients, vendors, and the employer's Client Engagement team for requests and escalated issues
- Identify and implement improvements for existing eligibility processes
- Participate in peak season planning and execution
- Manage Medicaid subrogation activities, including monitoring claim files and verification of letters of authority
What is Required (Qualifications):
- Bachelor's degree in IT, Business, Liberal Arts, Science, or a related field, or equivalent combination of education and/or relevant work experience; HS diploma or GED required
- Minimum of 2 years of experience in healthcare, PBM, eligibility, or claims processing
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
- Strong oral and written communication skills
- Problem-solving skills with strong attention to detail
How to Stand Out (Preferred Qualifications):
- Previous experience in PBM
- Experience working in eligibility or enrollment
- Proficiency with Microsoft Excel
#PharmaceuticalBenefits #CareerOpportunity #Healthcare #ClientEngagement #RemoteWork
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