- Prime Therapeutics (Annapolis, MD)
- …The Functional Business Consultant serves as a business system or business process subject matter expert with a high level of understanding of their ... + Represents assigned business system or business process as a subject matter expert in business requirements, system specifications, process… more
- Humana (Washington, DC)
- …so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's Executive Management Team, and corporate, ... as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's total… more
- Prime Therapeutics (Annapolis, MD)
- …sponsorship. **Additional Qualifications** + Thorough understanding of the PBM industry with subject matter expertise in one or more areas (pharmacy trend, ... **Education & Experience** + Bachelor's degree in Business, Marketing, Finance , Healthcare Administration, PharmD, or related field, or equivalent combination… more
- Cardinal Health (Annapolis, MD)
- … states on paper and online. + Mails all paper claims. + Acts as a subject matter expert in claims processing. + Manages billing queue as assigned in the ... contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer… more
- Cardinal Health (Annapolis, MD)
- …related personnel documentation as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims: investigates ... contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer… more
- Prime Therapeutics (Annapolis, MD)
- …visible to executives and across the organization. **Responsibilities** + Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, ... + Bachelor's degree in Math, Actuarial Science, Economics or Finance + 8 years of actuarial work experience to...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 5 years of experience… more
- Intermountain Health (Annapolis, MD)
- …charges/coding are consistent with Federal, State, and payer guidelines. 9. Acts as a subject matter resource to team and escalates to leadership as needed. ... AAPC or American Health Information Management Association (AHIMA), or Healthcare Finance Management Association (HFMA). Three (3) years of direct related experience… more
- Prime Therapeutics (Annapolis, MD)
- …SPS client contractual requirements applicable to Prime suppliers and subcontractors + Serve as subject matter expert for VLM support of SPS line of business + ... as assigned **Education & Experience** + Bachelor's degree in Finance , Business, Health Care Administration, or related area of...2 years of work experience in healthcare, PBM, state Medicaid plans, specialty pharmacy, or health care consulting +… more