- Dragonfly Health (Mesa, AZ)
- …pharmacy relationships and demographics. 10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: *… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Investigator - Pharmacy ** **Job Class: Human Services Program Representative 2 ** **Agency: Human Services Dept** + **Job ID** : 90721 ... for each job held.**_** Three (3) years of experience reviewing and/or submitting pharmacy claims to the Minnesota Medical Assistance program. AND Experience… more
- State of Colorado (Denver, CO)
- …provisional certification as a Pharmacy Technician from the Colorado State Board of Pharmacy AND Two ( 2 ) years of experience in an occupational field related ... and paperwork from the units, process Medicare Part D claims , coordinates pickup and removal of pharmaceutical wastes with...How many years experience do you have as a Pharmacy Tech? + 0-1 years + 1- 2 … more
- Molina Healthcare (Ann Arbor, MI)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Molina Healthcare (Dallas, TX)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- TEKsystems (Tempe, AZ)
- …years of high-touch, patient facing healthcare service roles (eg, Patient Access Reps, Claims Processors, Pharmacy Benefits Techs, etc.) * Strong written and ... with One Medical* Overview This is an inbound healthcare contact center representative role working for a nationwide primary care practice. Description + Managing… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working cross-functionally with ... and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs for compliance with… more
- Deschutes County (Redmond, OR)
- …Sisters and La Pine. Justice Court handles traffic and ordinance violations, small claims and certain civil matters. ABOUT THE COUNTY: We know where you choose ... for employee plus dependents, which includes an innovative on-site clinic, pharmacy , and wellness and wellbeing services. Additionally, we include life insurance,… more
- CVS Health (Trenton, NJ)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... role will be expected to be onsite in NYC 2 - 3 times per week and upon the...benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- PeaceHealth (Vancouver, WA)
- …facility leaders, caregivers and patients. Rounds on facilities and assigned areas. 2 . Consults with caregivers and leaders on issues related to risk management, ... clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Network and Pharmacy , ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Long Term Care Pharmacy **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this ... the preparation, completion and filing of third party payor insurance reimbursement claims , both electronic and paper formats. + Processes explanation of Medicare… more