• Pharmacy Claims

    Humana (Baton Rouge, LA)
    …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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  • Medical Director - Behavioral Health

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …provision of documentation to support compliance with annual licensure requirements, claims review to determine proper resolution, maintaining a working knowledge of ... include: Performance Profiling, Disease State Management, Wellness, Medical Policy and claims related issues. + Reviews, provides medical expertise and reports on… more
    Blue Cross and Blue Shield of Louisiana (05/02/25)
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