- Centene Corporation (Austin, TX)
- …competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as ... a subject matter expert and handles more complex pharmacy issues and respond to escalated calls from members,...outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...of these functions for external review agent process (Dispute Resolution Agency). + Serve as the subject matter expert… more
- Peak Vista (Colorado Springs, CO)
- Senior Compliance & Risk Specialist Summary Title: Senior Compliance & Risk Specialist ID:0402-4507 Department Location:3205/3207 N. Academy, Colorado ... direction of the Manager of Compliance & Risk, the Senior Compliance & Risk Specialist works to...the organization assets. + Evaluate, investigate, and direct the resolution of incident reports. + Make recommendations concerning protocols… more
- Walgreens (Orlando, FL)
- …or older **Preferred Qualifications:** + At least two years as a Centralized Services Specialist II or three years of pharmacy technician experience in a retail ... Communicates with patients, physicians and third party providers. Assists with resolution of escalated issues. Assists in assigning, monitoring and reviewing the… more
- Access Dubuque (Dubuque, IA)
- Provider Relations Specialist **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3205805 Posted On 04/16/2025 Refreshed On 05/17/2025 **Job Overview** ... **Position Overview:** The Provider Relations Specialist role involves handling pharmacy network operations and inquiries, maintaining provider contracts,… more
- Walgreens (Windsor, CT)
- …devices. Such as: + Utilizing tracking software to track and monitor the resolution of issues and/or open tickets + Supporting area processes and interface ... to a diverse group of people, including technical and development personnel, senior management, business customers, and vendors with courtesy and in a constructive,… more
- Bristol Myers Squibb (Summit, NJ)
- …there's no better place than here at BMS with our Cell Therapy team. The Specialist or Senior Specialist , Data Integrity role is responsible for assisting ... to recognize potential delays and notify management with proposed recommendations for resolution . + Strong project management skills with the ability to effectively… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team in a ... Commonwealth Care Alliance (CCA) as well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with regulations.… more
- Textron (Fort Worth, TX)
- **Principal Quality Logistics Specialist ** **Description** We're more than aviation experts, we're pioneers\. We challenge what's possible\. From breaking the sound ... with internal and external customers, customer responses, investigation and resolution of program related problems that affect customers' aircraft/components or… more
- Henry Ford Health System (Detroit, MI)
- …review processes. + Strong interpersonal skills to interact with customers, senior level personnel, subordinates and team members. + Strong experience performing ... systems proposals to management and customers and provide systems diagnoses and resolution for current systems. + Experience in a Healthcare setting. + Experience… more