Remote Claims Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Claims Analyst to join their remote
team.
Key Responsibilities
Analyze pharmacy claims for accuracy and compliance before
payment
Assist in identifying and recovering overpayments or pricing
errors
Prepare documentation and develop recurring and ad-hoc data reports
for stakeholders
Required Qualifications
Bachelor's or Master's degree in Business, Healthcare, Audit,
Insurance, or related field, or equivalent experience
Minimum of 2 years in claims processing, analysis, auditing, or PBM
operations; Medicaid experience preferred
Strong working knowledge of pharmacy claims and adjudication
systems
Experience in preparing documentation and training materials
National pharmacy technician certification and 2+ years of claims
auditing experience preferred
Keywords: VirtualVocations, Pico Rivera , Remote Claims Analyst, Professions , Vista, California
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