- CHRISTUS Health (Arp, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data, organizing disease management ... team members by following established safety and infection control standards. Requirements: Associate 's Degree in Nursing3 to 5 years of experienceRN License in… more
- Hartford Steam Boiler Inspection and Insurance Company (Des Moines, IA)
- Specialty Claims Associate **Company** HSB **Location** Des Moines , United States Location: Remote, USA Job Description: Manage specialty claims ... future. Provide customers with high quality service consistent with established claims management standards. Manage desk while balancing priorities to demonstrate… more
- Elevance Health (Lake Mary, FL)
- **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 ... Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated… more
- Elevance Health (Las Vegas, NV)
- …_personalized support throughout the_ _consumer's treatment journey._ **Pharmacy Customer Associate I** **Location:** NV-LAS VEGAS, 3634 S MARYLAND PKWY **Virtual** ... unless an accommodation is granted as required by law._ The **Pharmacy Customer Associate I** is responsible for responding to basic customer questions via telephone… more
- Huron Consulting Group (Van Buren, AR)
- …as the expert you are now and create your future. The Insights Management Specialty Consultant will serve in an instrumental role building and delivering on Huron's ... **PREFERRED QUALIFICATIONS** + Experience with comprehensive healthcare data sets ( claims , financial performance, clinical, and other related healthcare data) +… more
- Ascension Health (Austin, TX)
- …+ **Schedule:** Monday - Friday 8:00a - 5:00p + **Facility:** DC - Specialty Pavilion + **Location:** 4910 Mueller Blvd Austin, Texas **Benefits** Paid time off ... states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in… more
- University of Virginia (Culpeper, VA)
- UVA Specialty and Same Day Care Culpeper is seeking an experienced and licensed Nurse Practitioner or Physician Assistant that specializes in Primary Care Family ... within the scope of licensing, training, and credentialing dependent on specialty . * Works in conjunction with the medical director, administrative management,… more
- Axis (New York, NY)
- …is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, ... process. About the Team AXIS is hiring a Triage Associate for its North America Claim Team. This role...Claim Team. This role involves triaging and managing primary claims for AXIS US Primary Casualty policies. How does… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …for diverse stakeholders (HCPs, large healthcare organizations, payers, and specialty providers. + Experience with value-based sales models, including ... billing, coding, and reimbursement models particularly in digital health or specialty healthcare settings. + Entrepreneurial, business development mindset, with the… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Senior Physician Billing Associate (Shared Service Center - Westwood)Department:Shared Service CenterAutoReqId:81252BRStatus:Full-TimeStandard ... responsible for the timely and accurate submission of all charges and claims as assigned and required to bring issue/problem identification and investigation through… more
- Evolent (Salt Lake City, UT)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, ... Specialty Operations) and external partners, delivering analyses that drive...Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost… more
- Travelers Insurance Company (Federal Way, WA)
- …$144,400.00 **Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Travelers Insurance Company (Nashville, TN)
- …$144,400.00 **Target Openings** 1 **What Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Sanofi Group (Cambridge, MA)
- …sales / demand data (eg, IQVIA NPA & NSP) + Longitudinal HCP & patient-level claims (eg, IQVIA, Symphony, Komodo, etc.) + Specialty pharmacy / patient services ... **Job title** : Associate Director, Brand Analytics (Rhinology, Gastroenterology, Allergy) **Location**...for proactively identifying areas of opportunity through use of claims , SP, and CRM data. This position will report… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director, PASS Program Strategy and Marketing will play a critical ... patient access to medications and treatment. As a key contributor, the Associate Director will lead complex and high-volume program launches and management efforts,… more
- Dignity Health (San Luis Obispo, CA)
- …Summary and Responsibilities** In keeping with the PHC philosophy, the Financial Services Associate I serves as the liaison for patients and provides education to ... patients regarding insurance coverage and guidelines. The Financial Services Associate I will evaluate insurance options and clinical services to meet the needs of… more
- CVS Health (OH)
- …heart, each and every day. MUST RESIDE IN OHIO The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates must reside ... in Ohio. This position manages enrollment for Children's Specialty (CS) program including foster, child and family welfare population health members and other… more
- AbbVie (Mettawa, IL)
- …payer formulary access that maximize net sales for assigned brands. Identify through claims analysis, market dynamics that shape brand demand and build models to ... Key areas of functional scope include: + Leading the development of GPO, Specialty Pharmacy, Health Plan and PBM contracting strategies for launch brands across… more
- Takeda Pharmaceuticals (Boston, MA)
- …decisions as a business partner + Knowledge of secondary data sets including claims , EMR, specialty pharmacy data required + Advanced Excel modeling experience ... to the best of my knowledge. **Job Description** **About the role:** The Associate Director/Lead, US Solid Tumor Forecasting will lead US forecasting activities for… more
