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Associate

Newbury Park, CA
“This Company requires all staff, staff augmentation external workers, and certain other external workers, in the United States and puerto rico vaccinated from COVID 19 as a condition of assignment at this company. In accordance with applicable law, this company will provide reasonable accommodations staff augmentation external workers qualify on the basis of a medical reason or a sincerely held religious belief, practice, or observance. Such accommodation may not pose an undue hardship this company, its operations, or its staff.”
                                                            
Top 3 Must Have Skills
1. Intermediate to Advanced excel
2. Ability to perform analysis on large data sets
3. Knowledge / Understanding of prescription drug coverage and formularies

Day to Day Responsibilities:
1. Ensuring Contract Compliance by cross-checking Managed Care Rebate Invoice submissions against Formulary Validation results and proactively identifying claims for dispute.
2. Work with and at the direction of your direct supervisor to coordinate your work with theirs to ensure payments are made accurately and timely.
3. Maintaining dispute status tracker
4. Maintaining invoice tracker and MCO PayCal for selected Payors
5. Providing support to Analyst's on initial stages of invoice processing.

"This posting is for Contingent Worker, not an FTE"


 

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