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Rxclaim Jobs (NOW HIRING)

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

Remote From prototype to real-world impact - be part of a global shift by doing work that matters. - Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to ...

ALDON (Change Management System) RxClaim/PBM Knowledge : * Proficiency in Pharmacy Benefit Management (PBM) * Familiarity with RxClaim systems Key Qualifications: * Preferred Technical Background

The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. * Review, analyze and handle client ...

Monroeville, PA Must Have Skills (Top 3 technical skills only) * 1. As400 2. SYNON 3. RXclaim Detailed Project requirement for AS400 technology resources with hands on experience in SYNON and ...

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Rxclaim information

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$15K

$241.3K

$387K

How much do rxclaim jobs pay per year?

As of Jul 14, 2026, the average yearly pay for rxclaim in the United States is $241,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $200,000.00 and $300,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by RxClaim Analysts or Specialists in their daily work?

RxClaim Analysts or Specialists often encounter challenges related to staying current with continually evolving healthcare regulations, benefits plan updates, and complex claims data. Troubleshooting claim adjudication issues—such as rejected or incorrectly processed claims—requires analytical skills and attention to detail. Additionally, working closely with IT teams, pharmacists, and insurance representatives to implement system changes or resolve urgent problems can be fast-paced and requires strong collaboration. Overcoming these challenges provides valuable experience and contributes to professional development in the healthcare technology sector.

What is an RxClaim job?

An RxClaim job typically involves working with the RxClaim system, which is a pharmacy claims processing platform used by pharmacy benefit managers (PBMs) and healthcare organizations. Responsibilities may include managing prescription claims, analyzing data, troubleshooting system issues, and ensuring compliance with healthcare regulations. Professionals in these roles often work in IT, customer support, or pharmacy operations to help maintain accurate and efficient prescription processing.

What are the key skills and qualifications needed to thrive in the Rxclaim position, and why are they important?

To thrive as an RxClaim Analyst or Specialist, candidates typically need strong experience in pharmacy benefits management, claims processing, and healthcare data analysis, often supported by a background in healthcare administration or an IT-related field. Proficiency with PBM platforms such as RxClaim software (from Change Healthcare), SQL, and other claims adjudication systems is highly valued, along with certifications in pharmacy technology or healthcare information systems. Attention to detail, problem-solving abilities, effective communication, and the ability to work collaboratively within cross-functional teams are key soft skills. These competencies ensure accurate claims processing, smooth system integration, and positive outcomes for both patients and healthcare providers.

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AS400 Technical Lead with Synon and RxClaim

Saransh Inc

Richardson, TX • On-site

Contractor

Posted 9 days ago


Job description

Job Title- AS400 Technical Lead with Synon and RxClaim
Location- Hybrid in Richardson, TX
Duration- 6 Months

 
What are the top skills required for this role?
1. RPGLE
2. Synon
3. CLLE
4. RxClaim

Job Description/ Responsibilities:
• Native AS/400 Technical Lead to huddle up with our team and contribute from concept design to deployment as well as post implementation.As one of our leads you will be responsible for creating and delivering mission-driven, highly scalable programs.
• Clarify requirements with Business Analyst / Technical Lead
• Provide Estimation – Preparation, Review & Approval
• Conduct Analysis
• Create Technical Design- Preparation, Review & Approval
• Change control – ALDON activities.
• Engineer code – Review & Approval
• Prepare Unit Test Plan
• Unit testing – Bug Fixing, Review & Approval
• Promote project to QA & Regression
• Administer Deployment Plan Review
• Provide Support
• Engage in Quality Assurance
• Facilitate Regression
• Administer Deployment
• Support Post Implementation – Warranty Period