Pharma Benefit Analyst
- Quess Magna
- 0 to 1 Yr
- Hyderabad
- 5 years ago
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Job Description
Hiring Pharma Freshers
Dear Candidate,
We have Job Opportunity with Magna Infotech,
Location: Hyderabad
Qualification: B Pharmacy, M Pharmacy Freshers
Year of Passing: 2016, 2017, 2018.
Job Description
Responsibilities:
Analyze benefit requests and secure all necessary data to ensure appropriate. Implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.
Work with Client Management to implement new and maintain existing benefit plans and client pricing in the pharmacy claim adjudication system.
Work with Clinical Pharmacy to implement formulary updates and clinical programs in the pharmacy claim adjudication system.
Work with Pharmacy Network Management to implement pharmacy rate changes and network additions in the pharmacy claim adjudication system.
Ensure timely communication of any issues and/or information needed to complete a plan request.
Develop client specific implementation plans and manage implementation processes in accordance with department protocol.
Run queries out of the RxCLAIM adjudication system to secure all necessary information to implement plan requests.
Develop and run macros in RxCLAIM to implement plan requests.
Perform claim testing to ensure accurate claim adjudication.
Maintain acceptable and appropriate quality levels and production turnaround times
Adhere to all documentation standards within the department.
Participate in team meetings.
Ability to work in a constantly changing environment.
Skills:
Microsoft Office proficiency Word and Excel, specifically Advanced Excel skills -- must have ability to create Excel spreadsheet, macros, compile/analyze data for reporting;
Excellent analytical skills.
Good written and verbal skills.
Detail oriented.
Eligibility:
Bachelor's and Master's Degree in Pharmacy
Should be Flexible to work in Night Shifts.
Note:
Kindly Refer you friends if anybody interested
rm****i@ma**a.in
Contact No: 9966745***
Employement Category:
Employement Type: ContractIndustry: Medical / Healthcare
Role Category: Operations Management / Process Analysis
Functional Area: Not Applicable
Role/Responsibilies: Pharma Benefit Analyst
Contact Details:
Company Name: Quess MagnaLocation(s): Hyderabad
Keyskills: communication reporting typin
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