Remote Claims Analyst

A company is looking for a Claims Analyst to join their remote team. Key Responsibilities Analyze pharmacy claims for accuracy and compliance before payment Assist in identifying and recovering overpayments or pricing errors Prepare documentation and develop recurring and ad-hoc data reports for stakeholders Required Qualifications Bachelor's or Master's degree in Business, Healthcare, Audit, Insurance, or related field, or equivalent experience Minimum of 2 years in claims processing, analysis, auditing, or PBM operations; Medicaid experience preferred Strong working knowledge of pharmacy claims and adjudication systems Experience in preparing documentation and training materials National pharmacy technician certification and 2+ years of claims auditing experience preferred

May 20, 2025 - 00:20

A company is looking for a Claims Analyst to join their remote team. Key Responsibilities Analyze pharmacy claims for accuracy and compliance before payment Assist in identifying and recovering overpayments or pricing errors Prepare documentation and develop recurring and ad-hoc data reports for stakeholders Required Qualifications Bachelor's or Master's degree in Business, Healthcare, Audit, Insurance, or related field, or equivalent experience Minimum of 2 years in claims processing, analysis, auditing, or PBM operations; Medicaid experience preferred Strong working knowledge of pharmacy claims and adjudication systems Experience in preparing documentation and training materials National pharmacy technician certification and 2+ years of claims auditing experience preferred