Payment Accuracy Policy Manager, Drugs

Added
9 days ago
Type
Full time
Salary
Salary not provided

Related skills

google sheets google workspace policy development clinical data claims processing

๐Ÿ“‹ Description

  • Review policies; determine logic for drug edits.
  • Create designs and test claims from concept to validation.
  • Review, edit, and finalize designs and tests for content analysts.
  • Mentor analysts on conceptualizing and delivering edits.
  • Troubleshoot edits with Engineering to ensure function.
  • Prioritize drug library using clinical data and market inputs.

๐ŸŽฏ Requirements

  • RN or Pharmacist required
  • Project Management experience
  • Payment Integrity experience
  • Oncology experience preferred
  • Drug dosing calculation experience
  • Experience with Google Workspace (Sheets)

๐ŸŽ Benefits

  • Freedom to work from anywhere with a home office stipend.
  • Meaningful equity and 401(k) matching.
  • Flexible Open PTO plan.
  • Wellness stipend.
  • Comprehensive health plans with premium contributions.
  • Mental and physical wellness support via TalkSpace, Teladoc and One Medical.
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