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 ...
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 ...
... RxClaim? Does the candidate have 10+ years of hands-on coding experience in COBOL AS400 and/or Cobol ILE Does the candidate strong experience in DB2400 Essential Skills: iSeries| COBOL| AS400 (Mid ...
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... RxClaim? Does the candidate have 10+ years of hands-on coding experience in COBOL AS400 and/or Cobol ILE Does the candidate strong experience in DB2400 Essential Skills: iSeries| COBOL| AS400 (Mid ...
Direct experience with RxClaim or a comparable pharmacy claims adjudication platform * Experience designing or executing claims audits, pricing QA, or compliance validation frameworks * Excellent ...
Direct experience with RxClaim or a comparable pharmacy claims adjudication platform * Experience designing or executing claims audits, pricing QA, or compliance validation frameworks * Excellent ...
Clinical Coding Consultant Pharmacist - Remote
Houston, TX · On-site +1
$91K - $163K/yr
Provides consultative guidance for standard & custom formulary changes in RxClaim, RxBuilder & related clinical applications (RxAuth, RxInteract) * Conducts 2ND Level Formulary/UM Claim Research
Clinical Coding Consultant Pharmacist - Remote
Houston, TX · On-site +1
$91K - $163K/yr
Provides consultative guidance for standard & custom formulary changes in RxClaim, RxBuilder & related clinical applications (RxAuth, RxInteract) * Conducts 2ND Level Formulary/UM Claim Research
Clinical Coding Consultant Pharmacist - Remote
Houston, TX · Remote
$91K - $163K/yr
Provides consultative guidance for standard & custom formulary changes in RxClaim, RxBuilder & related clinical applications (RxAuth, RxInteract) * Conducts 2ND Level Formulary/UM Claim Research
Clinical Coding Consultant Pharmacist - Remote
Houston, TX · Remote
$91K - $163K/yr
Provides consultative guidance for standard & custom formulary changes in RxClaim, RxBuilder & related clinical applications (RxAuth, RxInteract) * Conducts 2ND Level Formulary/UM Claim Research
Associate Director Network Pricing
Eden Prairie, MN · On-site +1
Direct experience with RxClaim or a comparable pharmacy claims adjudication platform * Experience designing or executing claims audits, pricing QA, or compliance validation frameworks * Excellent ...
Associate Director Network Pricing
Eden Prairie, MN · On-site +1
Direct experience with RxClaim or a comparable pharmacy claims adjudication platform * Experience designing or executing claims audits, pricing QA, or compliance validation frameworks * Excellent ...
Understanding of Mail Order work flow Knowledge of RxExpress , RxClaim , and other PBM platforms Additional Information Candidate Screening Questions: 1. Do you have experience with any Specialty ...
Understanding of Mail Order work flow Knowledge of RxExpress , RxClaim , and other PBM platforms Additional Information Candidate Screening Questions: 1. Do you have experience with any Specialty ...
Senior Software Development Engineer (IBMi Claims Adjudication)
Richardson, TX · On-site
$111K - $146K/yr
... RxClaim or other PBM Adjudication system is preferred. • Experience on Cloud Technologies like Google Cloud Platform, AWS, Azure, Java, Python and Angular Company : Dice is the go-to career ...
Senior Software Development Engineer (IBMi Claims Adjudication)
Richardson, TX · On-site
$111K - $146K/yr
... RxClaim or other PBM Adjudication system is preferred. • Experience on Cloud Technologies like Google Cloud Platform, AWS, Azure, Java, Python and Angular Company : Dice is the go-to career ...
AS400 Synon Sr Developer
Minneapolis, MN · On-site
$120K - $150K/yr
... of RxClaim? • Does the candidate have hands-on experience working with core adjudication logic? • Does the candidate have hands-on experience working with accumulators? • Does the candidate ...
AS400 Synon Sr Developer
Minneapolis, MN · On-site
$120K - $150K/yr
... of RxClaim? • Does the candidate have hands-on experience working with core adjudication logic? • Does the candidate have hands-on experience working with accumulators? • Does the candidate ...
Required : • 7+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Required : • 7+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Required : • 10+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Required : • 10+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Pharmacy Program Associate
Atlanta, GA · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Atlanta, GA · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Required : • 10+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Required : • 10+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms • Strong expertise in RxClaim (AS400), EZQuery, and EZTest ...
Pharmacy Program Associate
New York, NY · Hybrid
$96K - $127K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
New York, NY · Hybrid
$96K - $127K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Dallas, TX · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Dallas, TX · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Tempe, AZ · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Tempe, AZ · Hybrid
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Strong technical background with experience in APIs, data integrations (FHIR, HL7, SFTP), and pharmacy transaction systems (NCPDP standards, RxClaim, ePost, or similar). * Experience launching ...
Strong technical background with experience in APIs, data integrations (FHIR, HL7, SFTP), and pharmacy transaction systems (NCPDP standards, RxClaim, ePost, or similar). * Experience launching ...
Pharmacy Audit Analyst - Travel Required
Eden Prairie, MN · On-site
$49K - $88K/yr
Proficient in RxClaim or other pharmacy claims processing systems Certified Quality Auditor (CQA) * Proven ability to problem solve including multiple priorities and research conflicting and/or ...
Pharmacy Audit Analyst - Travel Required
Eden Prairie, MN · On-site
$49K - $88K/yr
Proficient in RxClaim or other pharmacy claims processing systems Certified Quality Auditor (CQA) * Proven ability to problem solve including multiple priorities and research conflicting and/or ...
Experience with RXClaim * Experience with PBM client contracting * Experience with PBM rebates and values Skills and Competencies * Solid ability to solve complex problems and navigate ambiguous ...
Experience with RXClaim * Experience with PBM client contracting * Experience with PBM rebates and values Skills and Competencies * Solid ability to solve complex problems and navigate ambiguous ...
Pharmacy Program Associate
Tempe, AZ · On-site
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Pharmacy Program Associate
Tempe, AZ · On-site
$87K - $114K/yr
Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience with pharmacy claim testing and Quality Assurance (QA). * Experience with a ticketing system (such as ...
Rxclaim information
See salary details
$15K - $48.8K
2% of jobs
$48.8K - $82.6K
2% of jobs
$82.6K - $116.5K
6% of jobs
$116.5K - $150.3K
5% of jobs
$150.3K - $184.1K
2% of jobs
$201K is the 25th percentile. Wages below this are outliers.
$184.1K - $217.9K
14% of jobs
The median wage is $245.3K / yr.
$217.9K - $251.7K
22% of jobs
$251.7K - $285.5K
13% of jobs
$297.6K is the 75th percentile. Wages above this are outliers.
$285.5K - $319.4K
22% of jobs
$319.4K - $353.2K
7% of jobs
$353.2K - $387K
3% of jobs
$15K
$241.3K
$387K
How much do rxclaim jobs pay per year?
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.

Job description
Greetings for the day!
My name is Suneetha from Testing Xperts, we are a global staffing, consulting and technology solutions company, offering industry-specific solutions to our fortune 500 clients and worldwide corporations.
Thanks & Regards,
Suneetha. G
+1 631-759-8044 EXT 303 (O)
+1 347-826-3427 (F)
Role: MQ Series with AS400
Location: Monroeville, PA
Job Description:
Must Have Skills (Top 3 technical skills only) *
1. As400
2. SYNON
3. RXclaim
Detailed Job Description:
Project requirement for AS400 technology resources with hands on experience in SYNON and RXClaims system
Desired years of experience*: Above 9+ years
Education/ Certifications (Required): BE
Top 3 responsibilities you would expect the Subcon to shoulder and execute*:
1. Analytical Skill
2. Client Communication
3. on time Deliverables
Graduates
All your information will be kept confidential according to EEO guidelines.
About TestingXperts
Sourced by ZipRecruiter
Industry
It services
Company size
1,001 - 5,000 Employees
Headquarters location
Mechanicsburg, PA, US
Year founded
2013