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Pharma Benefit Analyst

Fresher   Hyderabad   19 Feb, 2020
Job LocationHyderabad
EducationNot Mentioned
SalaryRs 1.5 - 2.0 Lakh/Yr
IndustryPharma / Biotech
Functional AreaAllied Health ServicesMedical Transcription
EmploymentTypeFull-time

Job Description

Hi Candidate,we have Night Shift Openings for B.Pharmacy and M.Pharmacy candidates with our MNC client @ Hyd Location.Salary: 15000(11700 Take home after deductions).Cab Facility: Free Pick Up and Drop.Position Type: Contract to Hire(6 months -1 Year).Payroll: Magna Infotech Payrolls.Shift Timings : Night ShiftIf Interested please revert back with updated resume to ramadevi.k@quesscorp.comPharma Benefit Analyst(PBA):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 ClientThanks,K.Rama DeviHR Consultant040-42593020

Keyskills :
clinicaltrials clinicalresearch pharmacy pharmaceuticals .pharmacy pharmacoviglence m.pharmacy

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