- Providence (MT)
- …statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:**... roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate… more
- Ryder System (Helena, MT)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Prime Therapeutics (Helena, MT)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims ... This position will serve as an escalation resource and mentor for Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing… more
- Prime Therapeutics (Helena, MT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... to meet client's needs based on evaluation of their pharmacy and medical claims data. Provides clinical operations input and support of client specific claims… more
- Takeda Pharmaceuticals (Helena, MT)
- …alignment for other medium and/or high complexity products. Interface with Senior Management Cross-Functional Team (GLOC) + Coordinates the process to obtain ... labeling approval by Labeling Senior Management Cross-functional team (Global Labeling Oversight Committee -...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- PagerDuty (Helena, MT)
- …and sign-up for job alerts! PagerDuty is seeking a **Sr. Product Manager (Incident Analysis)** to join our diverse, customer-focused team! As **Sr. Product ... Manager ** , you will be part of the Incident...argue a viewpoint persuasively using data to support your claims . The base salary range for this position is… more
- HRDC IX (Bozeman, MT)
- …the applicant pool, this could be filled by either a Staff Accountant or Senior Accountant, depending upon experience. Job Opening Date: June 11, 2024 Job Closing ... with HRDC's Reduced Workweek Policy) Wage: Staff Accountant: $23.00-$28.00/hour Senior Accountant: $61,000-$73,000/year General Summary of Purpose of this Position:… more
- HealthEdge Software Inc (Helena, MT)
- **Overview** ** Senior Postgres DBA** **Position Overview:** HealthEdge is a cutting-edge software company focused on providing next-generation core administration ... of HealthEdge's award winning SaaS solution hosted in our private cloud. The Senior Postgres DBA will work closely with our Engineering team to optimize the… more
- Humana (Helena, MT)
- …a part of our caring community and help us put health first** The Manager , Grievance and Appeals ensures that products meet certain standards of quality. The ... Manager , Grievance and Appeals works within specific guidelines and...years of equivalent work experience in Grievance and Appeals, Claims , Authorizations, CMS, Provider Disputes and/or healthcare industry +… more
- Optiv (Bozeman, MT)
- …pipeline generation, and strengthening the Optiv brand. This role reporting to the Senior Manager , Regional Marketing Programs, will be responsible for leading ... within the continental US_ As the Regional Marketing Programs Manager , you will be the face of marketing to...necessary documentation is uploaded into NetSuite to support MDF claims . **What we're looking for** + 7+ years of… more
- Trustmark (Helena, MT)
- …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 ... card for assigned relationships for assigned producers that is shared with Trustmark senior leadership and used to drive innovation and improvement + Responsible for… more
- Sedgwick (Helena, MT)
- …perspective; assists sales process/customer tours as necessary. + Works with program manager , claims unit, expense bill reviewers to resolve questions, redesign ... with corporate/jurisdictional standards; to provide review of technical, complex claims requiring extensive skills/experience; and to interact with expense bill… more
- Billings Clinic (Billings, MT)
- …to benefit administration and auditing, leave management, life and disability claims , compensation, and the development and implementation of related policies and ... presentations, and other benefits communications. Provides guidance and support during claims and enrollment processes. Maintains records related to benefits plan… more
- Walgreens (Great Falls, MT)
- …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 (Great Falls, MT)
- …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
- Humana (Helena, MT)
- …Qualifications** + Experience with Medicare Advantage + Experience with member level claims **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below ... disability, life insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive,… more
- Highmark Health (Helena, MT)
- …systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of ... Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate… more