Healthcare Test Analyst (PBM + RXCLAIMS)

Remote Full-time
Net2Source Inc. is an award-winning total workforce solutions company recognized by Staffing Industry Analysts for our accelerated growth of 300% in the last 3 years with over 5500+ employees globally, with over 30+ locations in the US and global operations in 32 countries. We believe in providing staffing solutions to address the current talent gap – Right Talent – Right Time – Right Place – Right Price and acting as a Career Coach to our consultants.

Please go through below JD and If you are interested, kindly forward your resume to [email protected]. We will review your profile and get back to you at the earliest.

Role: Healthcare Test Analyst (PBM + RXCLAIMS)

Location- Remote

Hire Type: 11 Months+

Pay Rate: $29/hr. on W2
Job Description/ Responsibilities

• Health Care Knowledge (Claims processing) with PBM understanding

• Benefits Understanding of the Client Business requirement and Client Adjudication system

• Client Facing communication skills

• Create Functional specification document based on the Client Business requirement

• Review XMLs and work on mapping documents between Source and target system Guiding the Configuration team and Testing team for Requirements clarification

• Support the Defect Management process Requirement management via SFDC tool.

• Requirements Analysis, plan build in RX claims, coordinating with coding and other support teams, offshore team coordination, defect triage, status reporting and risks/issue reporting.

Regards,

Prashant Singh

Sr. Account Manager - Enterprise Business

Net2Source Inc.

(201) 285 -5087

Office: 270 Davidson Ave, Suite 704, Somerset, NJ 08873

LinkedIn: https://www.linkedin.com/in/prashant-singh-b1b23526

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Job Title:** Experienced Full Stack Customer Service Representative – Commercial and Public Sector Support

Remote

Clinical Research Associate - FSP - Remote

Remote

**Experienced Customer Service Assistant for Scheduling and Inquiries at arenaflex**

Remote

People Operations Intern (HRIS Migration)

Remote

Product Manager

Remote

Experienced Customer Service Representative – Remote Opportunity in Texas

Remote

Insurance Premium Auditor - REMOTE

Remote

Clinical - Quality Improvement Auditor (Clinical) - 210664

Remote

HEDIS Review Nurse - Contract

Remote

Experienced Part-Time Remote Amazon Data Entry Specialist for Teens – Flexible Work Arrangement with Opportunities for Growth and Development

Remote
← Back