Rx Claims Engineer

Eden Prairie, MN, US • Posted 1 day ago • Updated 1 day ago
Contract Corp To Corp
Contract W2
12 Months
No Travel Required
On-site
$50 - $80/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Rx Claim
  • PBM
  • Data Validation
  • Reporting Tools

Summary

Role: Rx Claims Engineer
Location: Eden Prairie MN (Onsite)
Hire Type: W2 Contract
 

Job Description:

1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims

2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR)

3. Knowledge on business & plan configuration and plan option knowledge.

4. Facilitate discussion with Product Owners, Business and clarify business requirements

5. High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/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: 10423087
  • Position Id: 10357-6733-
  • Posted 1 day ago
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