- Elevance Health (Cincinnati, OH)
- …of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits . By leveraging the power of new technologies, our strong, ... expertise, we are actively defining our innovative role in the industry. ** Pharmacy Quality Assurance Specialist ** **Location:** This role requires associates to… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Walgreens (North Ridgeville, OH)
- …balances and pricing. + Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor ... transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy / prescription claims . + Completes execution of all pricing… more
- Otsuka America Pharmaceutical Inc. (Akron, OH)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …in Home Infusion or Specialty Pharmacy collections. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13808/revenue-cycle-management- ... **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** +… more
- Prime Therapeutics (Columbus, OH)
- …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
- Adecco US, Inc. (Columbus, OH)
- …challenges, support services, and payer coverage. + Support providers with Benefit Investigations, Prior Authorizations, Claims Assistance, and Appeals. + ... life insurance, short-term disability, additional voluntary benefits , EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees… more
- Molina Healthcare (Cincinnati, OH)
- …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