• Config Auditor /Analyst

    AmeriHealth Caritas (Philadelphia, PA)
    …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… more
    AmeriHealth Caritas (02/01/25)
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  • PBM Compliance Manager

    Elevance Health (Wilmington, DE)
    …effective internal controls. **How you will make an impact:** + Detailed pharmacy claims validation + Interpreting and managing audit requirements, ie, ... background. **Preferred Skills, Capabilities, and Experiences:** + Strong expertise in pharmacy claims and reimbursement processes + Proven time management… more
    Elevance Health (03/14/25)
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