- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Department as well as serving as a mentor in order to foster their professional growth and development as well as their achievement of Company and/or departmental ... expectations and goals as identified by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage,… more
- Humana (Columbus, OH)
- …by driving meaningful impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a crucial role ... Join us and lead the development of solutions that make a meaningful difference The Senior Pharmacy Claims Professional will play a pivotal role in … more
- Medical Mutual of Ohio (OH)
- … Technician (CPhT) preferred. . Knowledge of CMS guidelines and Medicare Part D ( pharmacy ). . Knowledge of pharmacy claims processing through retail or ... oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited...Part D ( pharmacy ). . Strong knowledge of pharmacy claims processing through retail or mail… more
- CenterWell (Jefferson City, MO)
- …agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate ... Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. + Clear payment variances,...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- BrightSpring Health Services (Washington, NC)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more
- University of Michigan (Ann Arbor, MI)
- …order pharmacy setting. Experience in typing prescriptions and adjudicating claims preferred. + Document all patient interactions in appropriate systems and ... Pharmacy Services, see our annual report at https://www.medicine.umich.edu/dept/ pharmacy / pharmacy -annual-report **Required Qualifications Senior /Intermediate/Associate Level:… more
- ChenMed (Miami, FL)
- … Pharmacy communicates effectively with providers and staff, makes any Dispensing/ Pharmacy -related decisions with discussion with the senior leader, analyzes ... practices, processes, procedures, techniques and methods + Extensive knowledge of pharmacy workflow from prescription to claims submission and authorization… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health ... of our members related to their medical, behavioral health and pharmacy needs. This position also provides the physician cohesive collaboration necessary… more
- Elevance Health (FL)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Haleon (Warren, NJ)
- …building strategic science & technology into new capabilities for R&D. This ** Senior Scientist** helps define the long-term, global Wellness strategy by identifying ... to ensure key science platforms The New Ingredient for Health end points ** Senior Scientist** role focuses on: + New Ingredients & Delivery Technologies + Evidence… more
- Adecco US, Inc. (Teaneck, NJ)
- … professional to join our client's team! Position Name: ** Senior Analyst, Commercial Analytics (Pharmaceutical & Plasma)** Location: **Teaneck, NJ (Hybrid ... and operational efficiency. **Job Responsibilities** - Analyze datasets from Specialty Pharmacy , distributors, and MMIT, focusing on reimbursement claims ,… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** As Senior Counsel, Employment Law and Benefits, you will play an integral role in helping a highly complex, fast paced ... varying levels on wage and hour matters, workplace accommodations, protected leave, claims of harassment, discrimination, paid sick leave and benefits support and… more
- CVS Health (Irving, TX)
- …background. - Previous work experience in a RxClaim applications, PBM, Medical Claims , Health Insurance, Pharmacy , or Benefits. - Advanced Microsoft Excel ... to make health care more personal, convenient and affordable. **Position Summary** As a Senior Analyst, Benefits Test, you will be part of an extremely talented team… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR ... applications; or ancillary services applications such as lab, radiology, and pharmacy . Provides technical leadership in IT strategic planning, business automation… more
- Lee County Board of County Commissioners (Lehigh Acres, FL)
- Senior Librarian, Acquisitions Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4794983) Apply Senior Librarian, Acquisitions Salary ... develops, and evaluates assigned staff. + Manages ordering, invoicing and receiving, claims , and payments for library resources. + Maintains accurate budget records,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …access to an extraordinary range of healthcare data (including medical and pharmacy claims , enrollment, EMR, scheduling, billing, referral and laboratory ... Enterprise Data & Analytics (ED&A) team at Dana-Farber is seeking a Senior Clinical Operations Analyst to spearhead high-impact analytics initiatives to inform… more
- Deloitte (San Francisco, CA)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... individuals to expand our network of Market Access focused Senior Managers to help us expand our footprint of...team in development of quantitative and/or qualitative analysis (eg, claims data analysis, market research data) to drive meaningful… more
- Lundbeck (Deerfield, IL)
- Senior Manager Data Strategy and Governance - Remote opportunity Requisition ID: 6026 Location: Deerfield, IL, US Do you want to join a team where the mission is ... a dynamic, motivated, and highly experienced individual for the position of Senior Manager Enterprise Data Strategy. This individual will have primary responsibility… more
- CVS Health (Tallahassee, FL)
- …convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and… more
- BrightSpring Health Services (Arlington, TX)
- … solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled ... obtaining information completing necessary documentation or following up on outstanding claims + Individual with an understanding of Insurance and Medicaid… more
