Providence · 5 days ago

Business Systems Analyst

California, United States

Full-time

Remote

Mid, Senior Level

$37.10/hr - $58.73/hr

5+ years exp

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Health Care

Insider Connection @Providence

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Responsibilities

Design, develop, and execute business requirements for accurate processing of prescription claims at participating pharmacies.

Coordinate between internal departments and contracted vendors to interpret regulatory requirements.

Assure accurate processing of prescription claims utilizing eligibility, benefits, formularies, and drug utilization management edits in a point-of-service environment.

Qualification

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MedicationDrug product category trainingMedical terminology Pharmacy Technician License Certified Oregon Pharmacy TechnicianManaged care pharmacy experienceProject ManagementSix SigmaLEANWork OutSharepoint

Required

Bachelor's Degree in Business Administration, Healthcare Administration or Healthcare related field. Or 4 years additional experience as a Pharmacy Technician or a related healthcare field.

Coursework/Training: Medication and drug product category training and medical terminology.

Upon hire: Oregon Pharmacy Technician License

Within 1 year of hire: Oregon Certified Oregon Pharmacy Technician

5 years Experience as a Pharmacy Technician or directly related field.

1 year Managed care pharmacy experience.