- CVS Health (Lincoln, NE)
- …non-routine Provider Refunds and Returned Checks. + Review and interpret medical contract language using provider contracts to confirm whether a claim ... and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and… more
- Molina Healthcare (Omaha, NE)
- …**Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Molina Healthcare (Omaha, NE)
- …care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, ... and document audit walkthroughs. + Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal. + Research… more
- Oracle (Lincoln, NE)
- …Architect Professional; AWS Certifications: AWS Solutions Architect, AWS Security Specialist , Microsoft Certifications: Azure Security Engineer, Associate , Azure ... and selling AI models to enterprise customers + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex service… more
- Oracle (Lincoln, NE)
- …Architect Professional; AWS Certifications: AWS Solutions Architect, AWS Security Specialist , Microsoft Certifications: Azure Security Engineer, Associate , Azure ... and maintaining AI models in production environments + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex… more
- Merck (Lincoln, NE)
- **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract , etc.) + Comprehend complex accounts and local market interdependencies to… more