- Guardian Life (Jefferson City, MO)
- …reports, etc.) + Refer appropriate claims for review to Group Life Claims Case Manager IIIs, Team Leader, + Adopt and support the Group Life ... for reserves, reports and future profitability + Prioritize and review incoming mail, correspondence and new claims ...Leader, who in turn, reports to the Group Life Claims Manager . **Salary Range** $40,160.00 - $60,237.50… more
- Guardian Life (Jefferson City, MO)
- …superior customer service to all internal and external customers. This position will review claims for Short Term Disability and requires consistent and ... **Position Summary** The STD/Absence Claims Case Manager I (CM) is...for meeting key service deliverables such as turnaround times, quality assurance, and overall customer experience. This position utilizes… more
- Ryder System (Jefferson City, MO)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...Ryder s Liability program. + Assists Claims Manager in the identification of exposures… more
- Prime Therapeutics (Jefferson City, MO)
- …and follow up with pharmacies to drive timely and accurate documentation receipt and review + Analyze pharmacy claims to identify those at the highest risk ... drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy ...year of work experience in an operations, audit or quality assurance environment + Must be eligible to work… more
- Zurich NA (Jefferson City, MO)
- Clinical Bill Review and Treatment Plan Team Manager 113692 Zurich Insurance is seeking a Clinical Bill Review and Treatment Plan Team Manager . This ... position is 100% remote. The Clinical Bill Review and Treatment Plan Team Manager will...bills and creates treatment plans for Zurich's Workers Compensation claims . The manager will ensure that the… more
- Sedgwick (Jefferson City, MO)
- …management services in compliance with corporate/jurisdictional standards; to provide review of technical, complex claims requiring extensive skills/experience; ... and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve...sales process/customer tours as necessary. + Works with program manager , claims unit, expense bill reviewers to… more
- Sedgwick (Jefferson City, MO)
- …Western Region.** **PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...dedicated unit or multiple units of colleagues located in claims offices and on site at client locations; to… more
- Prime Therapeutics (Jefferson City, MO)
- …and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical ... Activities address impact on customers, operations, program integrity, pricing, quality , satisfaction, and outcomes. Develops and tracks the appropriate metrics… more
- Trustmark (Jefferson City, MO)
- …to bring the best to our colleagues, clients and communities. The Customer Success Manager (CSM) serves as the dedicated, single point of contact for assigned key ... for assigned relationships for all post implementation service requests and issues. Review responses from Subject Matter Experts to ensure completeness and accuracy… more
- Takeda Pharmaceuticals (Jefferson City, MO)
- …support to Local Affiliates for responses to health authorities requests, review of local labeling exceptions and alignment deferrals, etc. Escalation Process ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...and labeling management on assigned labeling tasks such as review and edit labeling documents, assist in leading LWG… more
- HealthEdge Software Inc (Jefferson City, MO)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... improve both clinical outcomes and the member experience. **Your impact** **:** + Review release notes for new product versions and determine changes necessary for… more
- UIC Government Services and the Bowhead Family of Companies (Jefferson City, MO)
- …to achieve completion of the project on schedule, within budget, and with quality workmanship that conforms to design plans and specifications. + Conduct meetings, ... and operational data on specified forms and reports; communicate with Project Manager . + Establish and maintain jobsite safety per the requirements of the… more
- Walgreens (Jefferson City, MO)
- …outcomes services. Responsible for ensuring the proper compounding, dispensation, review , and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Walgreens (Jefferson City, MO)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Jefferson City, MO)
- …records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs duties as assigned by Pharmacy ... Manager , Staff Pharmacist and Store Manager including...and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen… more
- Prime Therapeutics (Jefferson City, MO)
- …employee feedback and monitoring daily work flow and results. + Perform quality oversight for assigned claims , ensuring proper reimbursement. + Recognize ... to assure proper follow up is completed to expedite claims and ensure proper payment. **Job Description** + Lead...and report to Billing Manager system problems or suspected issues that would result… more
- Sedgwick (Jefferson City, MO)
- …the client relationship management system. + Compiles audit results and submits to manager for review . + Provides audit results for quarterly stewardship ... Experience Required **PRIMARY PURPOSE:** To assess, promote and confirm data quality and/or performance of investigative service partners and internal resources by… more