- CenterWell (Topeka, KS)
- …caring community and help us put health first** As an **Accounts Receivable Specialist/ Healthcare Claims Denials Specialist** , you will: + Ensure the ... or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare ...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Sutherland Global Services (Topeka, KS)
- …Sutherland _Unlocking digital performance. Delivering measurable results._ This is a full- time permanent healthcare claims adjudicator position. A ... facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ... ensures accuracy for pharmacy point of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Walgreens (Topeka, KS)
- …in communities nationwide. **Job ID:** 1510073BR **Title:** Pharmacist (Full or Part Time ) **Company Indicator:** Walgreens **Employment Type:** Full- time ... and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes services.… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Lead Automation Engineer identifies and implements solutions (hardware and software) for ... operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background… more
- Elevance Health (Topeka, KS)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Topeka, KS)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
- Prime Therapeutics (Topeka, KS)
- …5 years of relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design, and/or epidemiology + ... data output using eligibility data, medical and pharmacy administrative claims . The individual will support pharmaceutical manufacturer value-based contract… more
- Elevance Health (Topeka, KS)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , pricing… more
- Sumitomo Pharma (Topeka, KS)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into the ... system to prevent revenue leakage by scrubbing for duplicate claims across channels. The position will also provide operational...with A/P to ensure all payments are completed on time + Maintain the Model N or similar Medicaid… more
- Humana (Topeka, KS)
- …**Preferred Qualifications** + 6 or more years of work experience related to claims with an understanding claims lifecycles/ healthcare revenue cycle ... **Become a part of our caring community and help us...pertaining to your relevant skills and experience at a time that is best for your schedule. **Work at… more
- Norstella (Topeka, KS)
- …of the Life Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties ... States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 **Description** **About Norstella** At Norstella,...with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data)… more
- Walgreens (Topeka, KS)
- …1507493BR **Title:** Pharmacy Technician **Company Indicator:** Walgreens **Employment Type:** Part - time **Job Function:** Retail **Full Store Address:** 3696 ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Topeka, KS)
- …Technician / Pharm Tech Apprenticeship **Company Indicator:** Walgreens **Employment Type:** Part - time **Job Function:** Retail **Full Store Address:** 2901 SE ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons is seeking exceptional candidates to join our Medicaid Product ... opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves. The… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Norstella (Topeka, KS)
- …Location: Remote, United States Date Posted: Oct 17, 2024 Employment Type: Full Time Job ID: R-604 **Description** **About Panalgo** Panalgo's mission is to improve ... healthcare through innovative analytics. Our team has built a...patient care strategies. Panalgo is proud to be a part ofNorstella, an organization that consists of market-leading pharmaceutical… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Walgreens (Topeka, KS)
- …Pharmacy Customer Service Associate **Company Indicator:** Walgreens **Employment Type:** Part - time **Job Function:** Retail **Full Store Address:** 1001 ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more