- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Santa Fe, NM)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business. +… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- _At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too._ In this exciting role, as a ... in ERP system. + Manage 3PL processes for inventory, returns and claims , recall activities and reporting, and product destructions. + Manage inventory reporting… more
- CVS Health (Santa Fe, NM)
- …forward. The position is open in a data engineering team that is responsible for processing Claims , Revenue, and Medicare Specific files and data from 30+ payors ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Highmark Health (Santa Fe, NM)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing,… more
- Prime Therapeutics (Santa Fe, NM)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and… more
- Walmart (Bernalillo, NM)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Highmark Health (Santa Fe, NM)
- …**Substitutions** + 6 years of Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) experience ... resolution + Demonstrated leadership skills + Experience in Healthcare or Health Insurance Industry + Experience with technology platforms, application development… more
- Intermountain Health (Santa Fe, NM)
- …ERA, and EFT maintenance. This includes ensuring the accurate and timely processing of patient payments, active participation in system integration testing, serving ... + Five (5) years of experience in Healthcare Revenue Cycle (Payment Posting, Claims , billing, and Insurance and Follow up) + Three (3) years of supervisory… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- …financial impact to Otsuka. **Contract Operations:** + Oversees rebate invoice processing including validation and payment. Includes oversight of third-party vendor ... experience in healthcare contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B,… more