- Humana (Trenton, NJ)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in ... and take the lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries regarding… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and ... process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where… more
- BrightSpring Health Services (Horsham, PA)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- Humana (Trenton, NJ)
- …data analysis & problem-solving skills **Preferred Qualifications** + Previous experience with pharmacy claims + Previous experience performing pharmacy data ... us put health first** Be a part of our Pharmacy Clinical Programs Overutilization Review and Monitoring team. Provide...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Humana (Trenton, NJ)
- …frameworks to maximize ability of limited resources to achieve growth. **The Senior Strategy Advancement Professional ** will support initiatives to develop and ... assess, and translate state requirements into actionable go-to-market strategy. The Senior Strategy Advancement Professional will consult with growth partners… more
- Humana (Trenton, NJ)
- …informaticists to define various clinical concepts and extract clinical information from medical, pharmacy , and lab claims for analytics and modeling purposes + ... + Healthcare or managed care working experience + Experience working with medical, pharmacy , lab claims + Experience working with big data and using… more
- Deloitte (Philadelphia, PA)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... + Lead team in development of quantitative and/or qualitative analysis (eg, claims data analysis, market research data) to drive meaningful insights for our… more
- WTW (Philadelphia, PA)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims ... audit services. Product based solutions such as our pharmacy purchasing coalition round out our broad-based suite of...data and create client deliverables drafts for review by senior colleagues. **Love your work.** You will partner with… more
- RELX INC (Philadelphia, PA)
- Senior Director-Product ManagementAre you a thought leader and innovator seeking a new opportunity? Would you like to lead a team to solve complex business problems? ... Team leads the strategy and development of Healthcare solutions, leveraging provider, claims , and consumer data to provide insights for Healthcare Payer, Provider,… more