Lead Pharmacy Operations SpecialistVirtualVocations • Toledo, Ohio, United States
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Lead Pharmacy Operations Specialist
VirtualVocations • Toledo, Ohio, United States
Hace más de 30 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Lead Pharmacy Systems Operations Specialist.
Key Responsibilities
Manage and support pharmacy claims adjudication across multiple platforms
Develop and maintain standard operating procedures for adjudication processes
Ensure compliance with regulatory requirements and conduct audits for accuracy
Required Qualifications
8+ years of experience in the pharmacy sector or equivalent practical experience
Understanding of pharmacy claim adjudication and pricing rules
Proficiency in pharmacy claims systems and EDI transactions
Strong SQL and Excel proficiency, or other data analysis / reporting tools preferred
Experience working with Power BI or Looker is preferred
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Operation Specialist • Toledo, Ohio, United States
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