Pharmacy Benefit System Quality Analyst
Pharmacy Benefit System Quality Analyst is responsible for ensuring that prescription drug plans are configured accurately within pharmacy claim processing software. Builds and validates plan designs, including formulary management, clinical rules, and drug utilization management. Being a Pharmacy Benefit System Quality Analyst tests claim adjudication logic, ensures compliance with state/federal regulations, and troubleshoots data errors. Identifies bugs, analyzes root causes of claims issues, and collaborates with IT or vendors for resolution. Additionally, Pharmacy Benefit System Quality Analyst requires a bachelor's degree. Typically reports to a manager. The Pharmacy Benefit System Quality Analyst occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Pharmacy Benefit System Quality Analyst typically requires 2-4 years of related experience.
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- Pharmacy Manager
- Pharmacy Supervisor
- IT Quality Assurance Analyst I
- IT Quality Assurance Analyst II
- IT Quality Assurance Analyst III
- Product Quality Systems Analyst II
- Product Quality Systems Analyst IV
- Product Quality Systems Analyst III
- Manufacturing Total Quality Analyst II
- Manufacturing Total Quality Analyst III
- Pharmacy Benefit System Quality Analyst Salaries with No Diploma
- Pharmacy Benefit System Quality Analyst Salaries with a High School Diploma or Technical Certificate
- Pharmacy Benefit System Quality Analyst Salaries with an Associate's Degree
- Pharmacy Benefit System Quality Analyst Salaries with a Bachelor's Degree
- Pharmacy Benefit System Quality Analyst Salaries with a Master's Degree or MBA
- Pharmacy Benefit System Quality Analyst Salaries with a JD, MD, PhD or Equivalent