PBM Claims Adjudication Specialist
AffirmedrxpbcAffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.
Join us in improving health care outcomes for all! We promise to do what’s right, always.
Position Summary:
The PBM Claims Adjudication Specialist is a deeply technical, hands-on role responsible for building and maintaining client eligibility and accumulator files that ensure AffirmedRx’s data is always comprehensive, always accurate. Reporting to the Manager, Data Operations, this person develops new client eligibility files and accumulator files, builds coding automations to streamline fil... Click Apply to read the full job description.