- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... other required documentation; and maintaining a safe and clean work environment. . Ensures fulfillment of pharmacy prescriptions in an automated central fill pharmacy in order to maintain a continuous and consistent work-flow to meet daily production and… more
- Walmart (Plainfield, IN)
- …rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and ... other required documentation; working towards obtaining national certifications; shadowing Pharmacy Technicians and Certified Pharmacy Technicians; and maintaining a safe and clean work environment. + Assists in fulfillment of pharmacy prescriptions under the… more
- Paradigm Enterprises, Inc. (Overland Park, KS)
- …for the Company and regularly interact with the Company's operations , finance, insurance, and supply chain management departments. **JOB DUTIES/RESPONSIBILITIES:** ... to project management teams in the areas of contract interpretation and claims . Assist the supply management department with negotiating commercial terms with… more
- Highmark Health (Augusta, ME)
- …incumbent actively participates in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… more
- City of New York (New York, NY)
- …technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver ... contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates....provider consolidated fiscal reports (CFR) Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. -… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …will be responsible for all aspects of program oversight and operations in addition to having the clinical knowledge to maintain and ... Friday + 8:00am-4:30pm + Hybrid schedule The Role: + Oversee the claim and prior authorization review processes, dental regulations and procedure adherence,… more
- Carle Health (Normal, IL)
- …role in denials reduction efforts, timely filing expectations for registration and authorization claim error resolution and serves as a SME for revenue cycle ... operations for registration, eligibility, and collections. Works to maintain...Systems experience (preferably EPIC) with registration, eligibility, collections, and billing/ claims . + Ability to successfully manage department with multiple… more
- CVS Health (Hartford, CT)
- …to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations . The Account Relationship ... respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, Aetna Medicare Account Management Team, Aetna Commercial Account Management… more
- UNUM (Portland, ME)
- …Business Intelligence Analyst serves as a subject matter expert in the claims and absence domain, leading complex data analysis and visualization efforts, driving ... talent. They will apply their business acumen and data expertise in the claims and absence domain to deliver scalable solutions that support business leaders and… more
- DATAMAXIS (Springfield, IL)
- …supporting decision making for large Medicaid data warehouse implementation and operations . * With the specialized knowledge of the Medicaid and Children's ... stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. * Proactively… more
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