- Humana (Columbia, SC)
- …of our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures ... sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve moderately complex to complex… more
- Humana (Columbia, SC)
- …focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and regulatory ... caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental...care industries + Strong communication skills + Experience with pharmacy operations and/or claims processing in a… more
- CVS Health (Columbia, SC)
- …people on their path to better health as part of the largest integrated pharmacy company in the United States. Through the company's more than 7,600 CVS/ pharmacy ... a market leader in mail order, retail and specialty pharmacy , retail clinics, and Medicare Part D Prescription Drug...be responsible for: Managing a high volume of medical claims that have denied by refuting the denials within… more
- Humana (Columbia, SC)
- …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
- Cardinal Health (Columbia, SC)
- …a deep understanding of healthcare reimbursement (managed care and specialty pharmacy operations). In addition to stewarding relationships with the pharmaceutical ... + Knowledge of the specialty drug product marketplace, health insurance claims processing, and commercialization of products and working with pharma manufacturers… more