Job Description
Position Overview:
- The Pharmacy Payment Integrity Analyst plays a critical role in analyzing and interpreting Pharmacy data to provide actionable insights for improving patient outcomes, optimizing clinical workflows, and supporting healthcare decision-making. This position ensures accurate claims processing, policy interpretation, and regulatory alignment to prevent overpayments and cost-effective healthcare payments. What you’ll drive: You’ll identify, waste and inaccurate Pharmacy claims You’ll work with industry leading AI, predictive analytics, and automation platforms to uncover patterns and drive smarter decisions. You’ll foster a culture of learning, refinement, and ethical excellence to create high quality, evidence-backed refe...
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