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B Pharmacy Pharma Benefit Analyst Non Voice Nightshift 15000salary Freshers 0 To 1 Yrs Hyderabad Jobs

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Job Details
JD:
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 & Regards,
Veeresh.U
Consultant Human Resource
ph: 9000069296
quess corp limited
10-2-289/79, Shantinagar
Masab Tank,Hyderabad - 500 028,India
Qualities Needed for This Jobs
Clinical Pharmacy, Pharmacotherapy , Pharmacy Practice , Clinical Reporting
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Candidate Profile
Hiring For Freshers From B. Parmacy, M. Pharmacy Education Background. Position Will Be Pharma Benefit Analyst, Health Care Domain. Health Care Industry.
Looking for Master Of Pharmacy (m.pharm), Bachelor Of Pharmacy (b.pharm) graduates profile.
Sample Placement PapersT
More Information
Location Hyderabad / Secunderabad , Andhra Pradesh
Education Master Of Pharmacy (m.pharm), Bachelor Of Pharmacy (b.pharm)
Experience Fresher
Industry Medical
Job Type : Full-time
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