PBM / RX Claims Test Analyst - Remote - Contract

PBM / RX Claims Test Analyst - Remote - Contract

Posted 1 day ago by 1753967312

Negotiable
Outside
Remote
USA

Summary: The PBM / RX Claims Test Analyst role is a remote contract position requiring 4-5 years of experience in healthcare or pharmacy benefit management (PBM). The candidate will be responsible for manual testing, managing multiple assignments, and collaborating with senior leadership while demonstrating strong analytical skills and attention to detail. Proficiency in .NET C# and knowledge of RxClaims and SQL is preferred.

Key Responsibilities:

  • Conduct manual testing for PBM and RxClaims.
  • Manage multiple assignments and prioritize tasks to meet deadlines.
  • Communicate effectively with team members and senior leadership.
  • Understand healthcare legislation and the role of federal and state agencies.
  • Utilize analytical skills to define problems and draw valid conclusions.
  • Work collaboratively in a team environment.
  • Demonstrate superior organization and project management skills.
  • Utilize knowledge of health plan benefit structures.
  • Work with SQL and queries as needed.
  • Use RxClaims (AS400), EZQuery, and EZTest tools.

Key Skills:

  • 4-5 years of experience in healthcare or PBM.
  • Proficiency in .NET C# as SDET.
  • Manual testing skills.
  • Excellent verbal and written communication skills.
  • Strong organizational and project management skills.
  • Ability to work collaboratively in a team.
  • Understanding of federal and state healthcare legislation.
  • Knowledge of health plan benefit structures.
  • Experience with SQL and queries.
  • Strong analytical skills and attention to detail.
  • Knowledge of RxClaims (AS400), EZQuery, and EZTest tools.

Salary (Rate): undetermined

City: undetermined

Country: USA

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other

Detailed Description From Employer:

Title: PBM / RX Claims Test Analyst

Location: Remote

Duration: Contract

Top 3 skills required for this role?
1.PBM
2.Rxclaims
3.Manual Testing


Job Description/ Responsibilities/ Years of experience-
4-5 years experience in Healthcare or a PBM desired.
.NET C# experience as SDET
Prioritize, manage multiple assignments, and direct the work of others to meet deadlines.
Excellent communication (Verbal and Written) and collaboration skills.
Superior organization, project management, and prioritization skills.
Courteous and professional demeaner with the desire and ability to work as a team.
Ability to interact and influence with senior leadership of the organization.
Understanding of Federal and State agencies and their role in healthcare legislation.
Knowledge in Health Plan benefit structures.
Experience with SQL and Queries is preferred.
Strong analytical skills and attention to detail. Ability to define problem, collect data, establish facts, and draw valid conclusions.
Knowledge of RxClaims (AS400), EZQuery and EZTest tools