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Technical Service Support Pharmacy
100 Lexington Street, Suite 400 Fort Worth, TX 76102 | Contract
Our client in Fort Worth, TX is looking for a PPE Specialist on a contract to hire basis.
Claim switching service and flexible solutions for pharmacies
Claims processing and editing
Medical Claims billing
PPE Specialist Role:
The PPE Specialist will support the company’ s Edit client messaging solution.
Configure and maintain pre and post edits using the pharmacy network rules processing engine, including offering technical support as part of a value-add service package delivered to clients such as, trouble shooting, performing quality control/quality assurance, processing change requests, and verifying new edit requirements are documented clearly and follow internal standards.
Requires working effectively and collaboratively with team leaders and other stakeholder disciplines such as Engineering, Account Management, Quality Assurance, and any other representatives that can add value to the task at hand.
Master the pharmacy rules processing engine using the Rule Explorer User Interface to configure, manage, and maintain pre and post message edits.
Work closely with colleagues within the PPE team to conduct peer review and QA for edit implementations and changes.
Provide escalated customer support as needed to evaluate edit function and performance.
Document business rules and edit requirements working closely with internal and external customers and Subject Matter Experts.
Support the software development process as needed.
Establish and maintain effective communication with colleagues, internal stakeholders, and clients as needed.
Must be willing to accept additional duties and responsibilities when necessary.
PPE Specialist Background Profile:
Bachelor’ s degree in business, computer science, or health related field.
Minimum of five years’ experience as a Certified Pharmacy Technician in a retail pharmacy setting.
Excellent verbal and written communication skills
Adept at active listening, confirming purpose and managing output in a timely and accurate manner
Ability to work effectively with others
Capacity to learn the Rules Processing Engine system to implement services
Strong analytical skills
Ability and commitment to produce high quality work output
High level of desire and follow through on commitments
Understanding of customer needs with capability to translate them into system and/or operational requirements
Features and Benefits of Client:
Participate in an outstanding benefits package!
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Codie Queen is always striving to bring 100% to the work that she does, and her goal as a Talent Executive is to build strong, long-term, mutually beneficial relationships with candidates and clients alike. She specializes in talent marketing, sourcing and recruiting at a variety of levels. Codie takes pride in ensuring that placements are a strong match for all parties involved. She is passionate about assisting her candidates in landing their next career, not simply their next job!
Our process is designed to save you time. There’s no need to come in to register. All you need to do is submit your resume through the “Search Jobs” link or the “Upload Resume” link. If you are a fit for this role, and have additional questions, please reach out to Codie directly below.