- CVS Health (Woonsocket, RI)
- …product development-enabling data-driven strategic decision-making to identify new revenue opportunities. The Manager , Adjudication Vendor Solutions will ... business partners. This role will report to the Sr. Manager , Adjudication Performance team, and will play...of pharmacy business unit, as needed. + Development of billing/ vendor solutions that enable business growth/new healthcare… more
- CVS Health (Richardson, TX)
- …transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position ... Summary** As part of the Rx Claim Adjudication team, you will be expected to be proficient...helping many people each day. The IT Development Senior Manager position exists to successfully execute projects / initiatives… more
- Access Dubuque (Dubuque, IA)
- Account Manager **MedOne Pharmacy Benefit Solutions ** 1 Positions ID: 2917303 Posted On 12/13/2024 **Job Overview** **About MedOne:** MedOne is a full-service ... . Attend, present and record notes at client and/or vendor meetings . Serve as back-up to the Member...Butler/ SISCO Account Executive Cottingham & Butler/ SISCO Account Manager MedOne Pharmacy Benefit Solutions Plant … more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: ... required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- The Hartford (Alpharetta, GA)
- …work as requested. + Works independently under minimum supervision and support from manager . + Ensure proper implementation and claims adjudication of Group ... business needs and networking with appropriate resources to provide creative solutions . + Effectively work with cross-functional teams and resources to achieve… more
- Access Dubuque (Dubuque, IA)
- …20241213 End Date 20250208 Featured Job TH Ad TH Comments **Similar Jobs** Account Manager MedOne Pharmacy Benefit Solutions Account Manager MedOne Pharmacy ... Account Coordinator **MedOne Pharmacy Benefit Solutions ** 1 Positions ID: 2917539 Posted On 12/13/2024...Overview** **About MedOne:** MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a… more
- ManpowerGroup (CA)
- …exposure claims that may involve litigation and rehabilitation, ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... the position requires identifying subrogation of claims and negotiating settlements. ** Manager 's note:** Workers Compensation Claims Examiner (3+ years of California… more
- Sedgwick (Brea, CA)
- …compensation claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses… more
- ManpowerGroup (CA)
- …exposure claims that may involve litigation and rehabilitation, ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... The analyst will also identify subrogation opportunities and negotiate settlements. ** Manager Notes:** + **Workers Compensation Claims Examiner (3+ years of… more