• Pharmacy Systems Support Specialist

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin ... States of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development,… more
    Marshfield Clinic (07/09/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...Total Losses ; refer timely and accurately to more senior level adjusting staff for adjudication and collection; +… more
    Allied Solutions (07/13/25)
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  • Senior Pharmacy Benefits Specialist

    St. Luke's Health System (Boise, ID)
    …of colleagues, St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and navigating ... and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy… more
    St. Luke's Health System (09/27/25)
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  • Senior Regulatory Affairs Specialist

    Stryker (Cary, IL)
    Stryker is hiring a ** Senior ** **Regulatory** **Affairs** ** Specialist ** to join our Sage ... authorities. + Advises cross-functional teams on regulatory requirements for claims , labeling, and market access (eg, federal, state/provincial, reimbursement,… more
    Stryker (08/24/25)
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  • Senior Benefits Specialist

    Southland Industries (Garden Grove, CA)
    **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
    Southland Industries (09/20/25)
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  • Senior Specialist , Appeals…

    Molina Healthcare (Tucson, AZ)
    …complaints from Molina members, providers and related outside agencies. + Research claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
    Molina Healthcare (09/28/25)
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  • Senior Healthcare Data Analyst - Agency…

    State of Minnesota (St. Paul, MN)
    **Working Title: Senior Healthcare Data Analyst** **Job Class: Agency Policy Specialist ** **Agency: Human Services Dept** + **Job ID** : 89227 + **Location** : ... primary work location to be eligible for telework.** The Senior Healthcare Data Analyst position is part of the...Experience working with health care data systems, such as claims data or electronic health records. + Experience with… more
    State of Minnesota (09/28/25)
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  • Senior Procurement Specialist

    Mission Support and Test Services (North Las Vegas, NV)
    …Engineering Group Inc. (Jacobs), and HII Nuclear Inc. **Responsiblities** The Senior Procurement Specialist will provide Construction technical guidance on ... + Review, act on, and/or recommend specific action involving subcontract terminations, claims , and disputes. + Conduct closeout review of the order or subcontract… more
    Mission Support and Test Services (09/26/25)
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  • Account Receivable Senior Specialist

    Sevita (Edina, MN)
    …Join us today, and experience a career well lived. **Accounts Receivable Senior Specialist ** **$27.00 per hour** **Hybrid schedule:** **Remote flexibility with ... from payers and other entities. Work with payers to resolve outstanding claims issues. + Produce, distribute, and maintain monthly accounts receivable reports for… more
    Sevita (09/26/25)
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  • Senior Regulatory Affairs Specialist

    Stryker (Fremont, CA)
    **Join Stryker's Neurovascular Division in Fremont, CA as a Senior Regulatory Affairs Specialist .** At Stryker, we're driven by a mission to "Make Stroke ... and nonclinical data with regulatory requirements to support product claims . + Communicate effectively with regulatory authorities during submission development… more
    Stryker (09/17/25)
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