- Prime Therapeutics (Tallahassee, FL)
- …business operations systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, ... drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- … Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to ... trust and respect. RESPONSIBILITIES + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more