Hi Candidate,
we have Night Shift Openings for B.Pharmacy and M.Pharmacy candidates with our MNC client @ Hyd Location.
Salary: 15000(11700 Take home after deductions).
Cab Facility: Free Pick Up and Drop.
Position Type: Contract to Hire(6 months -1 Year).
Payroll: Magna Infotech Payrolls.
Shift Timings : Night Shift
If Interested please revert back with updated resume to ra*******k@ma**a.in
Job Description:
Pharma Benefit Analyst(PBA):
Analyze benefit requests and secure all necessary data to ensure appropriate. implementation
based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.
1. Work with Client Management to implement new and maintain existing benefit plans
and client pricing in the pharmacy claim adjudication system.
2. Work with Clinical Pharmacy to implement formulary updates and clinical programs
in the pharmacy claim adjudication system.
3. Work with Pharmacy Network Management to implement pharmacy rate changes
and network additions in the pharmacy claim adjudication system.
4. Ensure timely communication of any issues and/or information needed to complete a
plan request.
5. Develop client specific implementation plans and manage implementation processes
in accordance with department protocol.
6. Run queries out of the RxCLAIM adjudication system to secure all necessary
information to implement plan requests.
7. Develop and run macros in RxCLAIM to implement plan requests.
8. Perform claim testing to ensure accurate claim adjudication.
9. Maintain acceptable and appropriate quality levels and production turn around times
10. Adhere to all documentation standards within the department.
11. Assist with the development of process improvements for the department.
12. Research and respond to all claims processing inquiries from Client
Thanks,
K.Rama Devi
HR Consultant
040-39179159
ABOUT MAGNA INFOTECH:-Magna Infotech is a division of Quess Corp Limited, India’s leading business services provider established in 2007. Headquartered in Bengaluru, Quess Corp has a PAN-India presence with 52 offices across 27 cities, as well as operations in Canada, USA, South America, UA...