Openings for Freshers as Pharma Benefit
- Quess Magna
- 0 to 1 Yr
- Hyderabad
- 7 years ago
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Job Description
Hi,
We have immediate openings for Pharma Benefit Analyst position for one of our MNC Client in Hyderabad Location.
Role: Pharma Benefit Analyst.
Payroll: Magna Infotech
Work Location: at Client place(Hitech city)
C2H: 1 Year
Shift: Night Shift (2 way Free Cab Facility provided)
Qualification: B.Pharm, M.Pharm
Experience: Freshers
Salary: 1.92 LPA (12,500 Take Home)
Responsibilities and Duties
Analyze benefit requests and secure all necessary data to ensure appropriate. implementation
based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.
1. Work with Client Management to implement new and maintain existing benefit plans
and client pricing in the pharmacy claim adjudication system.
2. Work with Clinical Pharmacy to implement formulary updates and clinical programs
in the pharmacy claim adjudication system.
3. Work with Pharmacy Network Management to implement pharmacy rate changes
and network additions in the pharmacy claim adjudication system.
4. Ensure timely communication of any issues and/or information needed to complete a
plan request.
5. Develop client specific implementation plans and manage implementation processes
in accordance with department protocol.
6. Run queries out of the RxCLAIM adjudication system to secure all necessary
information to implement plan requests.
7. Develop and run macros in RxCLAIM to implement plan requests.
8. Perform claim testing to ensure accurate claim adjudication.
9. Maintain acceptable and appropriate quality levels and production turn around times
10. Adhere to all documentation standards within the department.
11. Assist with the development of process improvements for the department.
12. Research and respond to all claims processing inquiries from Client.
Interested Candidates please drop your resume to sr**************m@ma**a.in
Or
Directly walkin to the mention address and on the Top of the resume please mention the name Srivallika.
--
Regards,
S.Srivallika
HR Consultant
040-39179182.
Employement Category:
Employement Type: FreshersIndustry: Medical / HealthcareRole Category: Allied Health ServicesFunctional Area: Not ApplicableRole/Responsibilies: Openings for Freshers as Pharma BenefitContact Details:
Company Name: Quess MagnaLocation(s): Hyderabad
Keyskills: pharmacy pharmacolog
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