Job Summary/Responsibilities:
- 4 years' experience in healthcare.
- Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.
- Excellent communication (Verbal and Written) and collaboration skills.
- Superior organization, project management, and prioritization skills.
- Courteous and professional demeanor with the desire and ability to work as a team.
- Ability to interact and influence with senior leadership of the organization.
- Understanding of Federal and State agencies and their role in healthcare legislation.
- Knowledge in Health Plan benefit structures.
- Experience with SQL and Queries is preferred.
- Strong analytical skills and attention to detail. Ability to define problems, collect data, establish facts, and draw valid conclusions.
Required Skills:
- RX claims
Preferred Skills:
- Knowledge and experience with Clinical Operations in the Medicaid and Medicare environment.
What are the top 3 Must Haves for this role?
- PBM
- Rxclaims
- Manual Testing