- Prime Therapeutics (Oklahoma City, OK)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to...or equivalent GED + 3 years of experience in healthcare , PBM industry or related field + 1 year… more
- Prime Therapeutics (Oklahoma City, OK)
- …in Microsoft Word, Excel, PowerPoint, Project and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + ... decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant serves… more
- Carrington (Oklahoma City, OK)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Sedgwick (Oklahoma City, OK)
- …Loved Workplace(R) Forbes Best-in-State Employer Provider Network Negotiation Specialist **PRIMARY PURPOSE** **:** To negotiate fee-for-service ancillary contracts ... combination of education and experience required. Experience in a healthcare management environment including provider contracting, servicing and benefit… more
- Highmark Health (Oklahoma City, OK)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- SMX (Oklahoma City, OK)
- …+ Serves as the liaison with vendors and brokers to resolve employee claims . + Provides coaching and responds to escalated 401(k) inquiries from employees relating ... and/or benefits administration in government contracting + Certified Employee Benefits Specialist (CEBS) or related Human Resources certification a plus. + Knowledge… more