Job Description: -Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests. Ensures assigned due dates for submitted change requests are met. -Troubleshoots and performs research on basic claims adjudication issues or inquiries -Ensures consistent customer satisfaction through consultation and collaboration with internal business partners to ensure that business requirements for submitted change requests are clearly understood, documented, developed, communicated, tested, and delivered flawlessly -Assists in creating and maintaining documentation of clients' plan designs, detailing any custom maintenance processes and configuration best practices. Includes documentation of adjudication hierarchies, edits, restrictions, tables, carriers, and other configuration components.
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Career Level
Entry Level
Education Level
No Education Listed