- Highmark Health (Helena, MT)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- CDM Smith (Great Falls, MT)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Allied Universal (Missoula, MT)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- RxBenefits (Billings, MT)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... Deal Governance teams for At-Risk accounts + Manage and support the current account claim and data requests + Respond to competing PBM offers to show RxBenefits… more
- Montana State University (Bozeman, MT)
- …investments. Serve as liaison with insurance agencies and carriers for policy updates and claim processing. + Board Liaison - Act as the staff leader on the Finance ... with or without reasonable accommodations. The requirements listed above are representative of the knowledge, skill, and/or ability required. This position has… more
- Otsuka America Pharmaceutical Inc. (Helena, MT)
- …improvement **Cross-functional Integration** + Serve as the primary field medical affairs representative to the Rare Disease Medical Business Unit Lead and core ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Helena, MT)
- …continuous improvement and compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews and/or other ad ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Montana State University (Bozeman, MT)
- …with or without reasonable accommodations. The requirements listed above are representative of the knowledge, skill, and/or ability required. Physical Demands To ... with or without reasonable accommodations. The requirements listed above are representative of the knowledge, skill, and/or ability required. The Program The… more
- Montana State University (Bozeman, MT)
- …with or without reasonable accommodation. The requirements listed above are representative of the knowledge, skill, and/or ability required. To perform this ... with or without reasonable accommodations. The requirements listed above are representative of the knowledge, skill, and/or ability required. This position has… more
- Logan Health (Kalispell, MT)
- …and regulations regarding coverage of durable medical equipment and respiratory claims for Medicare/Medicaid and other Third party payers preferred. + Excellent ... patient accounts. + Monitors reimbursements and allowables related to insurance claims to maximize reimbursement. + Monitors Medicare coverage criteria and billing… more