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PBM -Rebate Lead - Remote at Remote, Remote, USA
Email: [email protected]
From:

Manish,

epeopletech

[email protected]

Reply to:   [email protected]

Hi,

Greetings of the day!!                                                                    

We have urgent openings with PBM -Rebate Lead and I have sent you job description, please go through it and let me know your comfort with it and also send me your updated resume ASAP.

Position: PBM -Rebate Lead

Location: Remote

Duration: CTH

Key Responsibilities:

Will be the Rebate SME for all rebate testing

Analyze requirements, user needs and test impacts 

Create test models for release testing (plans, data and scripts) including the identification, collection and/or creation of test data 

Lead co-ordination and execution of release testing as appropriate 

Determine and meet time estimates and schedules for testing efforts 

Define criteria for user acceptance including entry/exit criteria 

Develop, update and maintain quality testing standards and procedures 

Communicate effectively with customers and software vendors as appropriate 

Assist in the planning, creation and control of the test environment(s) 

Follow standard testing methodology frameworks, testing processes as a standard 

Determine and meet time estimates and schedules for testing efforts 

Participate in the coordination and execution of release testing 

Participate in Lessons Learned as appropriate 

Identify defects and questionable functionality; manage defects through to closure 

Resolve issues with unclear requirements and achieve a successful result 

Triage and solve complex problems using structured troubleshooting methodologies 

Quick learner, work independently as well as work collaboratively in a team environment 

Experience required: 

Minimum of 10+ years of experience in Drug Rebate

Knowledge of Health Insurance Industry - Claims processing, PBM, ICD 9/10, Medicare, or Medicaid.

Experience in creation of test plan, test estimates, test schedules and implementing test strategies

Experienced in writing SQL statements for data validations

Experienced in Database and Batch Job testing

Ability to design, develop, test and debug tests cases/Scripts/plans/strategy documents 

Knowledge of Azure and Confluence.

Document and interpret business and technical requirements for testing utilizing various development methodologies (e.g. Agile, Scrum, Iterative, Waterfall, etc.)

Extensive experience in Test Management tools building Test Plans and Test Cases using tools like JIRA, Xray and Azure DevOps (VSTS)

Hands on experience in Excel and Status Reports.

Effective communication skills to articulate testing result data to multiple audiences.

Working knowledge of industry standard automated testing tools, practices, and software and/or Performance testing tools.

Strong and effective inter-personal and communication skills and the ability to interact professionally with a diverse group of clients and team members

Rebate Experience required:

Minimum of 10+ years of experience in Drug Rebate

Knowledge of:

Types of Plans, 

Types of Claims - Normal, Reversed, Replacement, Void,

Unit Rebate Amounts, Deductible Amount, TPL Amounts, Copay, Reimbursement Amounts

Flow of Rebate process - End to End

Drugs or NDCs

Maintaining Contracts and Drug Families

Payments

Disputes

Drug Rebate Interfaces

Thanks & Regards

Manish Sharma

ePeople Technologies Inc

255 Baldwin Road, Suite 205,

Parsippany, NJ 07054

Email:[email protected]

http://www.epeopletech.com



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Note: ePeople Technologies Inc is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence, and performance of the essential functions of their positions. We promote and support a diverse workforce at all levels in the company. This is not an unsolicited mail and if it is not intended for you or you are not interested in receiving our e-mails please forward this email to  with "remove" in the subject line and mention all the e-mail addresses to be removed with any e-mail addresses, which might be diverting the e-mails to you. We are extremely sorry if our email has caused any inconvenience to you.

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Tue Sep 12 19:00:00 UTC 2023

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