Experience : 0 Description : Job Description: DXC Technology (NYSE: DXC) is the world's leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public sector clients across 70 countries. The company's technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally. For more information, visit http://www.dxc.technology/ . Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs. Responsibilities: + Actively participates as a lead and key member of the team. + Completes complex tasks and defined processes. Suggests creative solutions. + Multiple complex assignments are worked and completed simultaneously with minimal input from leadership. + Identifies, prioritizes and resolves most questions and issues independently. Solves and answers escalated and more complex questions or issues you're your peers. + Interpret and provides recommendations for all and contract requirements, business rules and related industry and legal regulations Qualifications Education and Experience: + High School Diploma or equivalent; may hold 2 year post-high school Degree; may hold Bachelor's degree. + 2 years of working experience in Drug Rebate + Minimum of 1 year in a retail pharmacy or pharmacy call center Skills: + Strong office experience and skills, possibly in a lead capacity. Strong healthcare related knowledge. + Intermediate to Senior level knowledge of operating systems, and of software skills. + Ability to develop and document procedures. + Ability to research and resolve inquiries. + Ability to read and interpret moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines. + Ability work on multiple assignments/issues with limited instructions from leadership. + Self-motivated with strong time management and organizational skills. + Excellent written and verbal communication skills and customer service skills, including professional telephone skills. DXC Technology is EEO F/M/Protected Veteran/ Individual with Disabilities County : New Castle URL : https://nlx.jobsyn.org/3c52d8e1212d4f8b92ec16bfff0b5ee0159