Pharma Benefit Analyst Jobs in Hyderabad - Www.Magna.in

• We are Looking for Pharma Benefit Analyst @ Hyderabad Location for a reputed client 
  
• Qualification : B.pharmacy/M.Pharmacy(Freshers, Experienced)
  
• Years of Exp : 0-3 Years
  
• Position Type: ''''Contract to Hire''''''
  
• Looking for immediate Joinees
  
• Shift Timings : Only Night Shifts with Cab Facility
  
• Type of Employment : Magna Payrolls
  
• Pharma Benefit Analyst 
  
• A Pharmacy Benefit Manager is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims.
  
•  They also are responsible for developing and maintaining the formulary, contracting with pharmacies, and negotiating discounts and rebates with drug manufacturers.

JD for PBA

• Analyze benefit requests and secure all necessary data to ensure appropriate. implementation based on applied logic of RxCLAIM (by SXC) pharmacy claim adjudication system.
• Work with Client Management to implement new and maintain existing benefit plans
  
• and client pricing in the pharmacy claim adjudication system.
  
• Work with Clinical Pharmacy to implement formulary updates and clinical programs in the pharmacy claim adjudication system.
• Work with Pharmacy Network Management to implement pharmacy rate changes and network additions in the pharmacy claim adjudication system.
• Ensure timely communication of any issues and/or information needed to complete a plan request.
• Develop client specific implementation plans and manage implementation processes in accordance with department protocol.
• Run queries out of the RxCLAIM adjudication system to secure all necessary information to implement plan requests.
• Develop and run macros in RxCLAIM to implement plan requests.
  
• Perform claim testing to ensure accurate claim adjudication.
  
• Maintain acceptable and appropriate quality levels and production turn around times
  
• Adhere to all documentation standards within the department.
  
• Assist with the development of process improvements for the department.
  
• Research and respond to all claims processing inquiries from Client