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Claims Test Analyst - New York, United States - RIT Solutions, Inc.
Description
Claims Testing Analyst7+ Month Contract
REMOTE
"Client "Rx Core PBM Operations role is critical to M3P initiative. This role is responsible for development and execution of end-to-end client testing that must be completed in 2024.
This position is required to complete M3P concurrent client testing for 30+ new/existing clients.
Project:
Medicare Pharmacy Payment Plan (M3P)
Inability to manage and execute concurrent client testing for M3P, impact to ORx and plan sponsor readiness to be CMS compliant for 10/1 and 1/1, member abrasion.
Requirements:
Advanced knowledge of PBM operations, RxCLAIM claim adjudication, eligibility and benefits
Experience with quality and/or testing programs
Intermediate Microsoft office and project management skills.
Associates Degree