Support assigned region by investigating, reviewing, and analyzing claims data by applying knowledge of pharmacy policy to ensure claims have processed appropriately based on benefit design and preferred drug list.
Formulate and apply mathematical modeling and other optimizing methods to develop and interpret information that assists management with decision making, policy formulation, or other managerial functions.
Create, optimize and utilize multiple sets of data and apply strong data mining, data processing, and data analyses skills in order to generate insights to drive business initiatives within various levels of the organization.
In this role, the selected candidate will create and update engineering and project documents and publications in support of O&M activities; coordinates the display of graphics and the production of the document.
In this role, you will assist in identifying and containing compliance risks and proactively fostering a compliance culture. Perform industry benchmarking and research to inform corporate compliance strategy.