Benefit Configuration Manager -NCPDP Claims Processing Standards Job in Tucson 85701, Arizona US

Skills Required:

Pharmacy, Configuration Manager, Six Sigma, Release Management, Manager, NCPDP, Claims, Pharmaceutical, Claim Processing, Configuration Team

Job Description:

Benefit Configuration Manager -NCPDP Claims Processing Standards

This position is located in ARIZONA.
RELOCATION $$$ OFFERED!

We are a pharmaceutical industry leader in specializing and designing prescription drug benefits. Recently voted by Inc. Magazine as one of the top 500 fastest growing companies in America we have an immediate nationwide search for a Pharmacy Claims Adjudication to manage all aspects of the benefit configuration process, including oversight of the initial set up, ongoing maintenance, program enhancement, and termination of client benefit designs.

This person will lead the benefit configuration team to achieve business objectives, including on-time delivery, accuracy, and adherence to benefit configuration policies and best practices.

This position offers a highly competitive salary plus annual bonus based on performance, sign-on bonuses based on commitment, a comprehensive benefits package, outstanding career ladders and/or promotional opportunities, and a work environment committed to employees’ professional growth and satisfaction.

What you need for this position:

- 3-5 years benefit configuration or pharmacy claims processing experience
- 3-5 years people leadership experience
- 2+ years quality/testing experience in a pharmacy claims processing or software development environment such as regression testing, six sigma or release management
- EXPERT working knowledge of NCPDP claims processing standards.

What you'll be doing:

- Establishing and measuring team goals for service, quality, and efficiency that align with the corporate vision, mission, and values
- Ensuring that core quality principles are incorporated into the benefit configuration process including, but not limited to, documented policies, procedures, and work instructions; defined standard operating procedures and best practice guidelines
- Representing the company in client and prospective client conference calls and meetings (internally and externally) related to the benefit configuration and benefit design process
- Serving as key liaison with established clients for benefit configuration services
- Partnering with internal stakeholders to ensure the accuracy of claims adjudication set ups
- Overseeing the relationship between my client and the claim processing partner.

What's in it for you:

- Competitive salary plus
- Annual bonus based on performance
- RELOCATION $$$ Offered
- Comprehensive benefits package

Must be authorized to work in the United States on a full-time basis for any employer.

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Chuck Cooke - Recruiting Manager - CyberCoders

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