| QA Engineer with PBM (Pharmacy Business Management), Health Insurance at Remote, Remote, USA |
| Email: [email protected] |
| From: Parimala, Tetrahed [email protected] Reply to: [email protected] Hello Hope you are ding good Role: QA Engineer Location: 100% Remote Duration: 4-5 Months Must-Have Skills and Experience: PBM (Pharmacy Business Management), Health Insurance, Benefits, claim adjudication. Job Description: The QA Testing Analyst is responsible for developing, documenting, and conducting test scenarios that support the continued development of the claims adjudication system. Develops in-depth understanding of and develops ability to create and maintain plan/benefits design rules and limitations to include: Adjudication rules, Clinical rules, Payment rules, Client management, Plan/group management Analyse benefit requests and ensure appropriate implementation to claim adjudication system (i.e., copays, accumulations, drug coverage, DAW, formulary, COB, Specialty, Mail Order) Work with Implementations and Account Management to implement new and maintain existing benefit plans and client pricing in the claim adjudication system Thanks & Regards, Parimala Technical Recruiter [email protected] Keywords: quality analyst |
| [email protected] View all |
| Thu Oct 12 20:48:00 UTC 2023 |