- Dragonfly Health (Mesa, AZ)
- …pharmacy relationships and demographics. 10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: *… more
- The Cigna Group (Phoenix, AZ)
- …home position that must reside **within the state of** **Arizona.** As a ** Pharmacy Technician** with Freedom Fertility, you will be assisting patients in receiving ... + Accurately enter prescriptions into our system, run test claims , run test claims and support patients...experience or a willingness to learn. + **Valid National Pharmacy Technician certification is required.** + **Valid Arizona State… more
- Peak Vista (Colorado Springs, CO)
- Pharmacy Technician I Summary Title: Pharmacy Technician I ID:0919-4800 Department Location: Pharmacy at Union, 225 S. Union Blvd, Colorado Springs, CO 80910 ... Rewards + Employee Assistance Program https://www.peakvista.org/resources/benefits-summary Job Summary: Supports pharmacy operations and pharmacists in the provision of … more
- Adecco US, Inc. (Cary, NC)
- …Track and follow up on authorization requests to ensure timely responses * Process pharmacy claims in the management system and maintain accurate records * ... **Now Hiring: Patient Benefit Representative ** Adecco Healthcare & Life Sciences is seeking...: $20-$25/hour (top rate available for CPhT-certified candidates with 2 + years retail pharmacy & customer service… more
- Sharp HealthCare (San Diego, CA)
- …Premium billing reminders and payment processing.* Member education.* Member claims investigation and resolution.* Pharmacy prior authorizations and ... of six (6) months experience as a Customer Call Center Representative . **Preferred Qualifications** + Associate's degree business administration or health care… more
- Adecco US, Inc. (Cary, NC)
- …a full-time **Key Responsibilities:** * Conduct benefits investigations and adjudicate pharmacy claims * Communicate with providers regarding prior ... **Now Hiring: Patient Benefit Representative ** Adecco Healthcare & Life Sciences is seeking...timely and compliant service **What We're Looking For:** * 2 + years of experience in pharmacy or… more
- Molina Healthcare (Ramapo, NY)
- …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
- Essentia Health (Superior, WI)
- …(CPhT, CMA, etc.) Preferred Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed care ... as assigned Required Qualifications: + 1 year experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in… more
- CenterWell (Raleigh, NC)
- …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Trinity Health (Ankeny, IA)
- …**Description:** This Outpatient Staff Pharmacist position is located at our onsite pharmacy in Ankeny, IA. JOB SUMMARY / PURPOSE Provide patient focused, outcome ... changes in therapy as appropriate. * Participate in and deliver specialty pharmacy care management activities, as appropriate * Answer drug information questions. *… more
- Publix (Lakeland, FL)
- …and bar admission in other Publix-operating states. + ARM or Certified Claims Representative designation. **Zip Code:** 33811-3311 **Work Environment:** Hybrid ... a wide range of liability matters including premises, fleet, pharmacy , and product claims . + Develop and...(lead or second chair), OR3 years in litigation + 2 years managing litigation for a corporate liability function,… more
- Essentia Health (Superior, WI)
- …continuous improvement Preferred Qualifications: + 2 years' experience as a pharmacy technician, medical assistant, claims representative in a managed ... Health. Will work with clinic departments and other departments within ambulatory pharmacy to create and maintain best practices, performance standards, and quality… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working cross-functionally with ... and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs for compliance with… more
- AmeriHealth Caritas (Newark, DE)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research… more
- Clark County, NV (Las Vegas, NV)
- …desirable. Estate Case Manager II - In addition to the above: Two ( 2 ) years of full-time professional level experience managing estate guardianships is required. ... obtain and maintain a valid National Center for Guardianship Certification within two ( 2 ) years from date of hire, excluding Case Managers assigned exclusively to… more
- State of Colorado (Pueblo, CO)
- …potential problems. Department Standards: + Knows, utilizes, and follows: Pharmacy Formulary, treatment plans, Infection Control manual, Physician's orders, Court ... meet education and mandatory training requirements. + Reports abuse allegations, claims of harassment/workplace violence immediately to the Emergency On Call… more
- CVS Health (Boston, MA)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... role will be expected to be onsite in NYC 2 - 3 times per week and upon the...benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- State of Massachusetts (Boston, MA)
- …care settings.The Investigator will: review complaints against providers; access Medicaid claims and conduct data analysis; research program rules and regulations; ... equivalent experience, preferred. . Experience requirements by level: 1. Investigator I: 0- 2 years of relevant experience. 2 . Investigator II: 3-4 years… more
- Community Wellness Partners (Oswego, NY)
- …in accordance with established policies and procedures. + Interview sales representative and select vendors/suppliers in accordance with established policies and ... and implement recommendations from the facility's committees, eg Quality Assurance, Pharmacy , Infection Control, etc. + Check invoices, purchase orders, packing… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Long Term Care Pharmacy **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this ... the preparation, completion and filing of third party payor insurance reimbursement claims , both electronic and paper formats. + Processes explanation of Medicare… more