- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- Herbalife (Torrance, CA)
- …reports to support scientific substantiation of product safety and efficacy claims under minimum guidance. * Develops product efficacy and safety documentation ... * Stays abreast of scientific development and regulatory landscape pertaining to health claims and safety in NAM and MX, and shares information with relevant… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary). + Strength in one ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Gentiva (Mooresville, NC)
- …highly organized Revenue Cycle Specialist to support our billing operations through timely processing of Government and Commercial claims . This role plays a ... **Overview** **Streamline Claims . Ensure Accuracy. Support Quality Care.** We are...**Key Responsibilities:** + Process assigned Medicare, Medicaid, and/or Commercial claims and payments accurately and within payer timelines. +… more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare ... AR team activities associated with timely resolution of outstanding insurance claims . 2. Contributes to decisions that impact workflows effecting timely resolution… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Offices, Boards and Divisions (Washington, DC)
- …of a legal organization, including developing legal strategies to be utilized in processing and evaluating a large volume of claims and providing sound ... oversees the work of the RECA Staff, which is responsible for administering claims for benefits filed under the Radiation Exposure Compensation Act. The Act provides… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …and data analysis, focusing on leveraging large healthcare datasets, including claims , electronic health records (EHR), and clinical trial data, data linking, ... and medical writing. + **Data Utilization:** Strong understanding of administrative claims data, electronic medical records, hospital inpatient data, and survey… more
- Sherwood Lumber Company (Melville, NY)
- …Sales Representative will be responsible for order entry and associated tasks, Claims and Credits management, and handling phone calls and customer service-related ... with customers, suppliers, and internal departments to ensure timely order processing and delivery. + Address any order-related inquiries or issues promptly… more