Documentation Analyst (US)
Elevance Health

Job Info

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Location: On Site in Altamonte Springs, FL

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

As a Document Analyst, you will be responsible for pulling documentation requested by Payors and PBMs to include CMS and Medicaid to develop documentation of business processes and systems. Requires high level of Attention to Detail. Work may be reviewed by more experienced analyst.

Primary duties may include, but are not limited to:

• Compiles requested documentation and reviews documentation for accuracy
  
• Researches and compiles data to include pharmacy and state laws as needed
  
• Prepares new or reviews and updates existing documentation.
  
• Conducts internal audits of various departments to ensure accuracy of submitted pharmacy claims as well as track and communicate findings to management
  

Minimal Requirements:

• Requires a high school diploma or GED
  
• 0-2 years related experience; or any combination of education and experience which would provide an equivalent background.
  

Preferred Requirements:

• BA/BS preferred.
  

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