The Benefit Configuration Specialist is responsible for setting up business rules in the adjudication system. The Benefit Configuration Specialist will test claims and perform quality assurance reviews to ensure desired results.
Requisitos:
Requirements: - Pharmacy Technician Associate Degree or equivalent
- Preferred Puerto Rico Board of Pharmacy Technician Certification
- One (1) year experience in a Health Plan, PBM, Retail Pharmacy or proven working experience as a data analyst.
- Knowledge of federal and The Commonwealth of Puerto Rico health care delivery and pharmacy regulations/regulatory agencies is preferred.
- Accurately analyze and interpret common Pharmacy Benefit terminology
- Available to work Monday to Saturday 8am-8pm
- Available to work on site
- Full Bilingual
