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RxClaim / PBM Claims SME Pharmacy Benefits (MedD / Adjudication Expert)

Job

ICONMA, LLC

Eden Prairie, MN (In Person)

$121,077 Salary, Full-Time

Posted 4 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/25/2026

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Job Description

RxClaim / PBM Claims SME - Pharmacy Benefits (MedD / Adjudication Expert)#26-19543 $55.71-$60.71 per hour Eden Prairie, MN Hybrid Job Description Our client, a IT Services and Consulting company, is looking for a RxClaim / PBM Claims SME - Pharmacy Benefits (MedD / Adjudication Expert) for their Eden Prairie, MN/ Hybrid location.
Requirements:
In depth knowledge on RxClaim Adjudication, claims processing, MedD claims Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR) Knowledge on business & plan configuration and plan option knowledge. Facilitate discussion with Product Owners, Business and clarify business requirements High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/reporting tools.
Years of Experience:
10.00 Years of Experience
Skills:
Category Name Required Importance Experience Healthcare Benefit Administration-PBM Yes 1 Healthcare Pharmacy Claims Yes 1