Pharmacy Analyst – Provider Services, Claims Administration

Job not on LinkedIn

November 7

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Logo of Alberta Blue Cross

Alberta Blue Cross

Healthcare Insurance • Wellness • Non-profit

Alberta Blue Cross is a non-profit organization dedicated to providing comprehensive health benefits and wellness programs to the residents of Alberta. As a leader in preventative health care, Alberta Blue Cross serves over 1. 8 million people through group, government, and individual plans. The company is committed to promoting wellness, offering modern work environments, and supporting community health initiatives. It aims to empower Albertans to live healthy and fulfilling lives by addressing physical, mental, social, and financial well-being.

1001 - 5000 employees

Founded 1940

⚕️ Healthcare Insurance

🧘 Wellness

🤝 Non-profit

📋 Description

• Process manual pharmacy claims, including high-cost drug claims • Perform quality assurance checks on claim adjudication results • Assist and educate pharmacy providers with claims submissions and reversals • Perform system testing • Research and analyze information to resolve complex inquiries • Track and complete reporting on work initiatives • Monitor individual production to ensure acceptable quantity of output and timelines are met • Make suggestions to improve workflows, increase efficiency

🎯 Requirements

• Demonstrated commitment in delivering superior customer service • Strong problem-solving abilities and attention to detail • Excellent organizational and time management skills • Demonstrated willingness and ability to adapt to changing priorities and processes • Ability to work with minimal supervision • Computer proficiency with Microsoft Word, Excel, and Outlook • Exposure to Access would be beneficial • Knowledge of the pharmacy industry is an asset

🏖️ Benefits

• flexible work style arrangement • opportunities for career growth

Apply Now

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