Prescription Drug Event Analyst I

VERDEGARD ADMINISTRATORS LLC

San Diego, California, United States
Base: $22.24 - $35.57 ph; bonus/equity: not specif...
Fully remote
Medicare part d claims data analysis
Pde file reconciliation and validation
Excel proficiency required
The role serves as a subject matter expert for Medicare prescription drug adjudication data, ensuring timely and accurate PDE file submissions for MedImpact customers

Job Summary

  • The role serves as a subject matter expert for Medicare prescription drug adjudication data, ensuring timely and accurate PDE file submissions for MedImpact customers.
  • This position requires technically complex analysis of rejected CMS entries, including adjustments related to eligibility, TrOOP, cost sharing, and gap discounts.
  • Candidates will work on-site at the San Diego Headquarters or approved remote locations, with potential overtime requirements including nights, weekends, and holidays.

Matching Summary

The role serves as a subject matter expert for Medicare prescription drug adjudication data, ensuring timely and accurate PDE file submissions for MedImpact customers.

Salary

Base: $22.24 - $35.57 per hour; Bonus/Equity: Not specified; Benefits: Medical, Dental, Vision, 401K match, Paid Time Off

Skills & Requirements

Must-have

  • Medicare Part D claims data analysis
  • PDE file reconciliation and validation
  • Excel proficiency required
  • CMS rejection handling expertise
  • Strong analytical and numeric skills

Nice-to-have

  • Knowledge of healthcare operating systems
  • Experience with root cause analysis
  • Ability to manage difficult client situations
  • Customer service excellence in healthcare
  • Process improvement initiative experience

Key Requirements

  • BS/BA degree or equivalent combination
  • 1+ years of relevant experience
  • US citizenship or permanent resident status required
  • No sponsorship available for this role

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter