Principal Treasury Claims Analyst - Remote

Treasury Claims Analyst

Contract

Remote

This is a claims position focused on pharmacy and member payments. The work on this contractor will range in level of complexity.

Job Description

The Treasury Claims Analyst Principal is responsible for managing the claim payment process, working with numerous internal business partners to ensure the appropriate application of regulatory guidance and contractual terms, while optimizing cashflow impacts.

Primary Responsibilities

• Participates in complex client and system implementations and system enhancement projects, providing guidance on federal and state prompt pay laws and direction on cashflow and banking impacts.
• Performs issue management triage collaborating with stakeholders across the organization and at various levels, including senior leadership, to identify root cause and resolve.
• Participates in claim system replacement project.
• Performs in depth complex analysis on payment compliance with federal and state prompt pay laws and contractual requirements.
• Other duties as assigned

Minimum Qualifications

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

Preferred Qualifications

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures