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Lead Pharmacy Operations Specialist
VirtualVocationsDorchester, Massachusetts, United States30+ days ago
Job type
- Full-time
Job description
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 • Dorchester, Massachusetts, United States
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