• Pharmacy Claims

    Humana (Sacramento, CA)
    …of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims ... up and maintaining hospice/facility/ pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support… more
    Humana (05/23/25)
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  • Home Infusion Benefits Investigation…

    Elevance Health (Walnut Creek, CA)
    **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of ... throughout the consumer's treatment journey._ **Title** : Utilization Management Representative II **Location:** virtual position. This role enables associates to… more
    Elevance Health (05/08/25)
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  • Provider Relations Representative

    Molina Healthcare (Los Angeles, CA)
    …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
    Molina Healthcare (04/20/25)
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  • Patient Account Representative

    Robert Half Office Team (San Mateo, CA)
    Description We are seeking a Patient Account Representative to join our healthcare team in San Mateo, California. In this role, you will be responsible for handling ... duties. * Execute a plan to meet the needs for registration, scheduling, billing/ claims inequities, and general questions. * Assist in resolving issues and improving… more
    Robert Half Office Team (05/08/25)
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  • Field Medical Outcomes Director

    Pfizer (Sacramento, CA)
    …to Integrated Delivery Networks, National Payers, Regional Payers, and Specialty Pharmacy Providers (SPPs). The role is responsible for educating customers on ... not limited to National Payers, Regional Payers, and Specialty Pharmacy Providers (SPPs). + Keep abreast of medical and...role in Oncology + Experience analyzing health care data ( claims , electronic health records, other health care data) +… more
    Pfizer (05/22/25)
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