BRM/BenefitAnalystMedicareClaims(PBM/RxClaims)
Posted 3 days ago by 1753964766
Negotiable
Outside
Remote
USA
Summary: The role of BRM / Benefit Analyst focuses on managing Medicare claims within the PBM/RxClaims domain, requiring expertise in RxClaims processing and Pharmacy Benefit Management. The position is remote and involves collaboration with various teams to ensure effective requirement gathering, documentation, and defect management. The candidate will also be responsible for training and knowledge sharing within the team. This is a contract position lasting over 12 months.
Key Responsibilities:
- Requirement gathering and functional documentation
- Collaborating with configuration, testing, and offshore teams
- XML mapping and data validation
- Support defect management and resolution
- Internal training and documentation as part of knowledge sharing
Key Skills:
- Hands-on experience with Rx Claims processing
- Strong understanding of PBM (Pharmacy Benefit Management)
- Excellent knowledge of Excel
- Proficient in creating Functional Specs, reviewing XMLs, mapping source-to-target systems
- Familiar with Salesforce (SFDC) tools, defect triage, and testing coordination
- Strong communication and stakeholder management skills
Salary (Rate): £25.00 hourly
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
Position: BRM / Benefit Analyst Medicare Claims (PBM/RxClaims)
Location: 100% Remote
Duration: 12+ Months Contract (W2)
Rate: $32/hr on W2
We are looking for an experienced BRM / Benefit Analyst with strong RxClaims and PBM domain expertise to join a fast-paced project in the healthcare space.
Key Requirements:
- Hands-on experience with Rx Claims processing
- Strong understanding of PBM (Pharmacy Benefit Management)
- Excellent knowledge of Excel
- Proficient in creating Functional Specs, reviewing XMLs, mapping source-to-target systems
- Familiar with Salesforce (SFDC) tools, defect triage, and testing coordination
- Strong communication and stakeholder management skills
Responsibilities Include:
- Requirement gathering and functional documentation
- Collaborating with configuration, testing, and offshore teams
- XML mapping and data validation
- Support defect management and resolution
- Internal training and documentation as part of knowledge sharing