19 days old

Prior Authorization Correspondence Quality Analyst

Elk Grove Village, IL 60007
  • Job Code
    576587
  • Payrate
    $21 To $26

Responsibilities:



  • Facilitate Meetings as Requested by Supervisor
  • Review Test Plans and Proofs for Prior Authorization correspondence that are coded into the Prior Authorization System which includes validating: Content, Branding, Compliance Elements (CMS, NCQA, URAQ, ERISA, ACA and State Regulations), and Design elements.
  • Assign new tasks in ServiceNow received in the department's assignment group
  • Provide client letter inventories on demand
  • Submit post configuration oversight tasks to internal teams


Required:



  • Excellent writing / proofreading skills
  • Excellent interpersonal / professional communication skills
  • Good time management skills
  • Quality Assurance Experience
  • Proficiency in Microsoft Office Suites (listed in order of importance): Word, Excel, and PowerPoint
  • Pharmacy Experience


Assets:



  • Preferred: Proficiency in prior authorization processing platforms: Pega PAS, RxAuth
  • Preferred: Proficiency in setup platforms: +PReS Share (PAS), Template Builder (RxAuth)
  • Preferred: PBMCT certification
  • Preferred: CPhT certification
  • Preferred: PBM experience

Categories

  • Information Technology

Randstad utilizes a technology-driven focus with a human touch to provide better staffing and business solutions to organizations around the world. Our team of experts match professionals with available career opportunities in a variety of fields.

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Prior Authorization Correspondence Quality Analyst

Randstad Technologies
Elk Grove Village, IL 60007

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Prior Authorization Correspondence Quality Analyst

Randstad Technologies
Elk Grove Village, IL
US

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