- Prime Therapeutics (St. Paul, MN)
- … Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role is responsible for the operational support of ... promote client and member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to ensure team member's knowledge… more
- CVS Health (St. Paul, MN)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Reviews and… more
- CVS Health (St. Paul, MN)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- State of Minnesota (St. Paul, MN)
- …Title: Office & Admin Specialist Sr** **Job Class: Office and Administrative Specialist , Senior ** **Agency: MN State Retirement System** + **Job ID** : 77608 ... committed to equity and inclusion, and invests in employees by providing benefits , support resources, and training and development opportunities. Responsible as part… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Healthcare Data Analyst** **Job Class: Agency Policy Specialist ** **Agency: Human Services Dept** + **Job ID** : 77625 + **Location** : ... is committed to equity and inclusion, and invests in employees by providing benefits , support resources, and training and development opportunities. The Senior … more
- Ramsey County (St. Paul, MN)
- …quarterly claims review meeting, as well as reports for senior management and relevant stakeholders, highlighting key findings, trends, and recommendations for ... Claims Analyst Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4536137) Apply Claims...Closing Date 6/23/2024 11:59 PM Central + Description + Benefits + Questions Basic Function The current vacancy County… more
- Highmark Health (St. Paul, MN)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more