- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- Highmark Health (Jefferson City, MO)
- …to the appropriate internal department (including but not limited to Product Management , membership, claims , eMarketing, etc.). Identify any opportunities for ... **Job Description :** **JOB SUMMARY:** This job collaborates with Sales Client Management and the Sales Executive team. The position will develop member transition… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- UPMC (Pittsburgh, PA)
- …codes for potentially billable items in the coverage analysis in order to assist in the management of claims review, as well as identifying items that are to be ... writing and excellent communication and interpersonal skills. + Strong organizational and time management skills. + Ability to work independently and as part of a… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- Prime Therapeutics (Baton Rouge, LA)
- …or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 years of ... that directly impact Prime's financial pricing strategies, financial contract management , profit drivers and the organization's financial value statement** **Lead… more
- BrightSpring Health Services (Phoenix, AZ)
- …claim regulations and ensure compliance in processing. + Track unpaid or delayed claims ; generate reports for management . + Provide excellent customer service in ... + Support additional pharmacy tasks and operations as directed by management . Qualifications Qualifications Required: + High School diploma or equivalent. +… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures… more
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