PBM Integration Specialist

A company is looking for a PBM Integration Specialist responsible for managing third-party vendor relationships and ensuring the integrity of claims data.

Key Responsibilities

Oversee the processing, validation, and reconciliation of pharmacy claims data

Develop and maintain reports analyzing claims data and vendor performance

Identify and implement solutions for complex claims data processing challenges

Required Qualifications

BS / BA degree in Business, Finance, Economics, or a related discipline

Three (3) to five (5) years of experience in the healthcare industry

Two (2) to four (4) years of data and / or analytical experience in healthcare

Proficient in Excel and Access, with familiarity in data management tools

Experience with pharmacy, dental, and vision claims data processing