Base: $80,000—$100,000 usd; bonus/equity: not spec...
Remote
Pharmacy claims analysis
Sql query development
Data reconciliation and validation
This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics
Job Summary
This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics.
Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees.
Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows.
Matching Summary
This role plays a key part in validating and coding audit deliverables, developing performance monitoring reporting, quantifying financial impact, and driving efficiency through automation and advanced analytics.
Salary
Base: $80,000—$100,000 USD; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
Pharmacy claims analysis
SQL query development
Data reconciliation and validation
Audit risk assessment
Performance monitoring reporting
Financial impact quantification
Nice-to-have
Intellectual curiosity
Passion for continuous improvement
Adaptable to shifting priorities
Collaborative team player
Key Requirements
Bachelor's degree in quantitative or business field