Rx Claim Data Analyst

Hybrid in Newark, NJ, US • Posted 6 hours ago • Updated 6 hours ago
Contract W2
Contract Independent
Remote
Depends on Experience
Fitment

Dice Job Match Score™

⭐ Evaluating experience...

Job Details

Skills

  • Rx
  • PBM
  • Pharmacy Claims
  • Pharmacy Benefit Management

Summary

JD Rx Claims Data Analyst

Job Title: Rx Claims Data Analyst

Job Summary:
Looking for a Data Analyst with experience in Rx (Pharmacy) Claims and Healthcare/PBM domain to analyze pharmacy claims data, validate adjudication logic, and support reporting and data quality initiatives.

Key Responsibilities:

  • Analyze Rx claims adjudication processes including eligibility, formulary, pricing, and prior authorization.

  • Write SQL queries to extract and analyze pharmacy claims data.

  • Perform data validation and reconciliation for claims processing.

  • Investigate claim rejects, reversals, and pricing issues.

  • Support UAT testing and reporting for pharmacy claims systems.

  • Collaborate with PBM, business, and technical teams.

Required Skills:

  • Experience in Rx Claims / Pharmacy Claims / PBM environment

  • Strong SQL and data analysis skills

  • Knowledge of claims adjudication workflow

  • Experience with healthcare data and reporting tools

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91139002
  • Position Id: 8908211
  • Posted 6 hours ago
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