- TEKsystems (Chicago, IL)
- …between departments payors and providers to comprehensively determine patients overall prescription coverage. The Insurance Analyst handles patient requests ... Description: The primary function of the Insurance Analyst is to provides best-in-class customer services to...This position works collaboratively with other areas of the Pharmacy to maximize patients access to care. Responsibilities: *… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Business Analyst Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4662561) Apply Business Analyst Salary $43,888.00 - $85,812.22 Annually ... for County vehicles. + Coordinate, process, and manage all vehicle accident claims including estimates and vendor scheduling as needed. + Schedule, coordinate, and… more
- G-TECH Services, Inc. (Detroit, MI)
- …3. Pharmacy Technician Certification (PTCB) preferred 4. Knowledge of prescription drug names, therapeutic classes and claims processing 5. Experience ... for some positions OTHER SKILLS AND ABILITIES 1. Expert knowledge of pharmacy claims processing 2. Understanding of formularies and utilization management… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …it relates to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims /Managed Care), and Pharmaceutical contract language. Ability ... Sr. Contract Compliance Analyst Date: Sep 25, 2024 Location: Parsippany, United...and Gross to Net. + Understands fundamental mechanics of claims validation, rebate systems, and outside formulary tools such… more
- CVS Health (Scottsdale, AZ)
- …and validating drug data received from external vendors and used in support of prescription claims processing. Various data is received at various intervals (ie ... make health care more personal, convenient and affordable. **Position Summary** As a Senior Analyst - Drug File Administration you will be responsible for reviewing… more
- G-TECH Services, Inc. (Detroit, MI)
- …Contact Center Experience * Knowledge of CMS/NCQA regulations * Knowledge of pharmacy claims processing Education/Certifications - Include: * High School Diploma ... experience working under a license pharmacist or completion of certified pharmacy technical program. Working knowledge of third-party claims process. Please… more
- Omnicell (Dallas, TX)
- …technology to produce results + Ability to utilize various data sources including pharmacy claim, hospital charge, prescription order, provider and location data ... program and navigating pharmacy data + Experience with pharmacy data including claims , orders, and hospital charges + Understanding of dimensional modeling… more
- IQVIA (Milwaukee, WI)
- …not required: o Chargeback Adjudication o Membership and Eligibility determinations o Prescription Rebate Processing o Pharmacy Benefit Management o Managed ... your clients. Those skills are pertinent because as an analyst , you will be responsible for multiple accounts and...writing with a customer. o Research and resolve Chargeback claims . o Ensure accurate and appropriate responses to disputes.… more
- G-TECH Services, Inc. (Detroit, MI)
- …Contact Center Experience * Knowledge of CMS/NCQA regulations * Knowledge of pharmacy claims processing Education/Certifications - Include: * High School Diploma ... * Experience with Microsoft Programs (Outlook, Excel, Word, Access) * Knowledge of prescription drug names, therapeutic classes and claims processing * Knowledge… more
- TEKsystems (North Chicago, IL)
- …between departments, payors, and providers to comprehensively determine patients' overall prescription coverage. The Insurance Analyst II handles patient ... Description: The primary function of the Insurance Analyst II is to work with patients, Health...This position works collaboratively with other areas of the Pharmacy to maximize patients' access to care. Responsibilities: +… more