Senior Data Analyst, Quality Review - Medicare Pharmacy Claims Part D & Part B)
Remote Flex - North Carolinaremotesenior$89K – $143K
Posted 1w ago · via Workday
About this role
Job Description We're hiring a Senior Data Analyst to join the Government Pharmacy Programs Department! The Senior Data Analyst, Quality Review – Medicare Pharmacy Claims is responsible for ensuring accurate, compliant adjudication of Medicare Part D and Medicare Part B pharmacy claims. This role performs detailed quality oversight, validates benefit and pricing logic, ensures adherence to CMS regulations, and identifies systemic issues that impact claims accuracy, financial performance, and member outcomes.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: sql, teams
2
Level fit
This role is senior-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
sqlteams
More at Bcbsnc
- View →Project/Program ManagerRemote Flex - North Carolina
- View →Episodic Care ManagerRemote Flex - North Carolina
- View →Lead Center Specialist-RaleighRaleigh
- View →Business Systems AnalystRemote Flex - North Carolina
- View →Strategic Advisor, Care Delivery ServicesHybrid Flex - Durham
- View →Senior Center Specialist - CharlotteCharlotte