Pharmacist Content Solutions Analyst
A company is looking for a Content Solutions Analyst II - RX.
Key Responsibilities
Research and analyze new and existing medical policies related to pharmacy claims editing
Write business logic for new rules and enhancements, translating industry references into policy
Provide coding and clinical expertise to support new policy rollouts and mentor new staff
Required Qualifications
Pharmacist (BSPharm or PharmD) or off-shore Medical/Pharmacy degree (MBBS or higher)
Certification (RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe, CPhT) or willingness to obtain within one year
3 years of experience as a pharmacist or physician in clinical, retail, or payer settings
5 years of experience in research related to coding or in an internal analyst role
5 years of experience in rule requirement gathering and software enhancements