PAR Data Specialist

US-PA-Yardley
4 weeks ago
Job ID
2017-4708
# of Openings
1
Category
Healthcare

Overview

TalentFleX Solutions, a Business & Technology consulting firm servicing the Mid-Atlantic, is actively supporting the hiring needs of emerging markets Life Sciences data company based in the Yardley PA area. Currently, this company is scaling a project and requires multiple resources for a PAR Assessment team.

Our PAR ( Policy and Restriction ) Team focuses on maintaining accurate, up-to-date information about prior authorization and step therapy policies for health plans across the country.

Responsibilities

In this temporary position, you will support the PAR Assessment Team with maintaining the company's data set by reviewing, interpreting, and entering information from medical policy documents. Each day, you will:

  • Review medical policy documents from health plans across the country
  • Interpret information about prior authorization and step therapy policies for specific indications
  • Apply guidelines to accurately represent policy information in the company's data set
  • Meet deadlines while maintaining data quality
  • Ask clarifying questions and learn continuously

You must be detail oriented and highly productive. Knowledge of medical and/or pharmacy policies and pharmaceutical drugs is preferred.

This is an excellent opportunity for health care professionals who are familiar with prior authorization requirements (pharmacy technicians, health plan customer service representatives, medical assistants, nursing assistants) or candidates who completed coursework in related fields.

Qualifications

  • S. Degree; Associates Degree preferred in business, science, health or liberal arts.
  • Critical thinking and analytical skills.
  • Outgoing personality with a confidence in speaking with people over the phone.
  • Customer service phone experience or call center phone experience is a plus

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