Prescription Drug Event Analyst I
MedImpact Healthcare Systems, Inc.
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $22 - $36 per hour
Job Level
Junior
About the role
- Analyzes and reconciles PDE entries rejected by CMS
- Identifies gaps in the benefit and formulary design structure
- Defines and documents requirements for technical specifications, data requirements, and procedures
- Utilizes multiple company databases to obtain, record, and analyze complex claim information
- Maintains current understanding of customers' Medicare Part D coverage and benefit plans
- Recommends improvement in workflow processes
- Ensures continuous improvement of Medicare claims data through root cause analysis of errors
- Responsible for the establishment and maintenance positive working relationship with both internal and external customers
- Participates customer conference calls as the subject matter expert
Requirements
- BS/BA and 1+ years’ experience or equivalent combination of education and experience
- Detailed understanding of claim processing concepts
- Ability to prioritize urgent issues effectively
- Outstanding numeric, verbal, written, logic and analytical skills
- Understanding of basic financial concepts
- Detail oriented with a high degree of accuracy & follow through
- Self-starter with the ability to work independently & as part of a team
- Ability to influence others, lead small work groups, and coordinate service requests throughout the organization
- Knowledge of healthcare operating systems preferred
Benefits
- Medical / Dental / Vision / Wellness Programs
- Paid Time Off / Company Paid Holidays
- Incentive Compensation
- 401K with Company match
- Life and Disability Insurance
- Tuition Reimbursement
- Employee Referral Bonus
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisclaim processingroot cause analysistechnical specificationsdata requirementsworkflow improvementMedicare Part D coverageformulary designnumerical analysisfinancial concepts
Soft skills
detail orientedanalytical skillscommunication skillsteamworkindependenceinfluenceleadershiporganizational skillsproblem-solvingcustomer relationship management
Certifications
BS/BA degree