Description
The Senior Healthcare Data QA Analyst – Pharmacy Claims leads pharmacy claims data quality during hypercare and ongoing operations across VBA and G-GBAS. The role validates PBM and claims files, reconciles source-to-target data, checks eligibility and accumulator values, investigates production defects, documents audit-ready evidence, and coordinates with claims, technology, reporting, and business stakeholders. It requires a bachelor’s degree in a relevant field, eight years of healthcare data QA or pharmacy claims experience, strong SQL and Excel skills, and experience with healthcare claims platforms.
