Jobs in Analyst

Engagement Description – Responsible for assisting Medicare Advantage PPO, HMO and PDP plans meet CMS compliance requirements for PBM oversight, claims processing, CMS reporting and benefit set up and testing. Job responsibilities include Perform a quality review of claims to ensure overall quality, Assist Customer Service with questions and clearly communicates responses to inquiries, participates…

Engagement Description – PA Specialist in Pt B Pharmacy will support providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience – • 2-4 years Specialty and/or Retail Pharmacy • Experience in provider/member call center or helpdesk • Process prior authorization requests…

The Senior Analyst position is responsible for assisting Medicare Advantage PPO, HMO, and PDP plans to meet CMS compliance requirements for PBM oversight, CMS reporting, and benefit setup and testing. Other related skills may be required to perform this job The maximum hourly rate reflects budget estimates only and does not reflect the final negotiated…

Engagement Description – PA Specialist in Pt B Pharmacy will support providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience – • 2-4 years Specialty and/or Retail Pharmacy • Experience in provider/member call center or helpdesk • Process prior authorization requests…