Pharmacy Benefit Quality Assurance (Health Insurance)

Salary surveys & compensation benchmarks

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Ensures that pharmacy programming has been set-up accurately by the PBM. Provides quality assurance and testing related to claim adjudication and plan set-up. Ensures all coding has been done appropriately and reviews system generated outputs to validate outcomes. Provides oversight of all PBM data interfaces, by ensuring control points are in place to confirm delivery and receipt of files,…