TC
Rx Claims SME
TechDigital Corporation
🇺🇸 United States
On-site
Manager or above
3 months ago
3 months ago
1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims
2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR)
3. Knowledge on business & plan configuration and plan option knowledge.
4. Facilitate discussion with Product Owners, Business and clarify business requirements
5. High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/reporting tools.
Rx Claims SME · TechDigital Corporation