- CVS Health (Richardson, TX)
- …in ensuring the stability, scalability, and modernization of our pharmacy claims processing systems. These systems handle millions of prescriptions daily, directly ... platforms including: + 5+ years of experience with IBMi development and operations , including Operating system fundamentals DB2i, RPG, RPGLE, CL, COBOL, COBOLLE, SQL… more
- Adecco US, Inc. (Pontiac, MI)
- …dispatch orders. + Provide and manage tags for customer part selection. + Process claims for misdirected parts and update claim information in the customer ... information, performing hands-on inventory control tasks, and supporting logistics operations through accurate data entry and administrative processes. **Job… more
- CVS Health (Hartford, CT)
- …frameworks specific to Medicare regulatory and market environments. **Financial Operations & Reporting** + Direct monthly close, revenue recognition (including ... payments), and reserves (eg, Part D IBNR, rebate reserves, Med Supp claim liabilities). + Ensure proper accounting treatment for reinsurance, risk corridor… more
- Nationwide Auto Services (Carrollton, TX)
- …States, working closely with insurance companies and clients to deliver turnkey claim management and exceptional customer care. About the Role Join our dynamic ... exceptional customer service to clients and partners. Coordinate daily operations , including overspray project management and personnel assignments. Identify new… more
- The County of Los Angeles (Los Angeles, CA)
- …Secretarial Group perform duties composed of essentially the same basic activities and operations . Positions in these classes are allocated when the work of the ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Travelers Insurance Company (Pittsburgh, PA)
- …CPCU designation. **What is a Must Have?** + Four years of underwriting, claim , operations , risk assessment, actuarial, sales, product, or finance experience. ... of insurance are needed-from devastating auto accidents to product liability claims , which can result in multimillion-dollar lawsuits. The Account Executive Officer… more
- CVS Health (Woonsocket, RI)
- …in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and Claims Adjudication will also contribute to your success. In this role, you ... client support if needed. **Preferred Qualifications** + Expert level experience in RX Claim . + Experience with Benefit Builder and FMS. + PBM industry experience. +… more
- Centene Corporation (Queens, NY)
- …Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures ... related to referrals and claims submission, web site usage, EDI solicitation and related...experience, provider relations, quality improvement, utilization management, or clinical operations . Project management experience at a medical group, IPA,… more
- Commonwealth of Pennsylvania (PA)
- …Assistant Director, you will assist the Director in overseeing day-to-day bureau operations and auditing processes. Within this role, you will have the opportunity ... whether statistics submitted by hospitals are accurate and individual claims for uninsured patients qualify under the terms of...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Air Force Elements, US Transportation Command (Scott AFB, IL)
- …Analyzes data requirements to determine the automation of transportation administrative operations for the system, reviews and evaluates certified deliverables to ... QUALIFY? You MUST provide transcripts or other documentation to support your educational claims . All materials must be submitted by the closing date of the… more
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