Analyst

• Serve as customer support to internal stakeholders to provide front-line technical and analytical resolution on the SmithRx adjudication platform and all of its components for (1) eligibility, (2) plan design, (3) claims adjudication and (4) accumulator data file exchange.
• Address planned and unplanned escalation issues related to adjudicated claims and data sharing inquiries submitted by our internal business partners.
• Perform troubleshooting of all mission-critical adjudication issues to triage and resolve issues in a timely manner.
• Perform in depth analysis of claims data inconsistencies and develop output reports detailing resolution and data validation
• Partner closely with our Plan Operations and Account Management organizations to ensure that all of their data-related needs are met
• Collaborate with business partners and engineering to create streamlined processes for customer issue resolution
• Conduct User Acceptance Testing on software solutions and enhancements

Adjudication Analyst

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