- Arvato Bertelsmann (Las Vegas, NV)
- …priorities, shipping requirements, and volume peaks. Your goal will be to provide the highest quality service for our customers by establishing best-in-class ... as required. * Responsible for client KPI's: On Time Delivery, Inventory Control, Claims , and On Time shipping. * Peak Season Planning + Execution. * Training… more
- CVS Health (Carson City, NV)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Carson City, NV)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Carson City, NV)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- WelbeHealth (Carson City, NV)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Carson City, NV)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- Elevance Health (Las Vegas, NV)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Danaher Corporation (Las Vegas, NV)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Las Vegas, NV)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- CVS Health (Carson City, NV)
- …critical thinking, problem resolution and interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- Centene Corporation (Carson City, NV)
- …+ Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups + ... with potential providers + Negotiate contracts with interested providers utilizing model provider agreements, and follow up on contracts + Lead negotiations, rate… more
- Walgreens (Las Vegas, NV)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Las Vegas, NV)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Cardinal Health (Carson City, NV)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Carson City, NV)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Carson City, NV)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Otsuka America Pharmaceutical Inc. (Carson City, NV)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- CenterWell (Carson City, NV)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Las Vegas, NV)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Las Vegas, NV)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
