Working remotely in a full-time capacity, the Pharmacy Reimbursement Administrator will manage pharmacy remittances, oversee claims adjudication processes, and ensure compliance with pharmacy contract agreements. Key responsibilities Administers technical processes for system price setups, electronic funds transfers, and remittance setups Ensures oversight and reporting on the end-to-end process, identifying and implementing necessary controls Conducts pharmacy network rate testing and quality assurance to mitigate incorrect claims adjudication Required qualifications Associate Degree preferred or equivalent experience; CPhT preferred Experience in PBM or managed care is preferred but not required Previous testing experience is preferred Ability to support compliance program objectives Demonstrated cooperative and respectful interaction with other employees
Pharmacy Reimbursement Administrator in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.