- Actalent (Montville, NJ)
- …least 1 year of retail experience preferred. + Proficiency in order entry, claims , filling, labeling, insurance, and healthcare support . Additional Skills & ... Qualifications + PharmD preferred. + Ability to handle stress and adapt to various situations. + Comfortable working independently or within a team. + Maturity, professionalism, and the ability to work with diverse personalities. + Strong technical ability and… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …Rule, TEFCA-related requirements) and translate them into actionable system requirements. . Support gap analysis for existing payer systems ( claims , clinical ... . Ensure solutions integrate effectively with enterprise systems such as claims adjudication, enrollment, provider management, UM/PA, care management, and data… more
- US Tech Solutions (Columbia, SC)
- …provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, ... medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness.… more
- IQVIA (Durham, NC)
- …The Principal Biostatistician is responsible for providing full range statistical support for drug development based on real world evidence (RWE). **Additional ... + Writes statistical analysis plans. + Provides strategic and tactical support for cross-functional RWE development for regulators, payers, and clinicians. +… more
- AON (Los Angeles, CA)
- …including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy ... programs, and/or leading collaboration across offices and/or geographies to support multinational risk management/finance practices on behalf of insureds, brokers,… more
- Army National Guard Units (North Las Vegas, NV)
- …of the position. You must provide transcripts or other documentation to support your Training/Educational claims . To receive credit for Training/Education, you ... must provide documentation of proof that you meet the Training/Education requirements for this position. Additional Information - If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act,… more
- Otsuka America Pharmaceutical Inc. (GA)
- …and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician certifications, and site qualification visits. ... **Responsibilities and Duties:** **Drive Provider Referral Program:** + Analyze claims and EMR data to identify high-potential providers and patient populations. +… more
- HCA Healthcare (Denver, CO)
- …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
- Humana (Columbus, OH)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... support modeling, reporting, and decision-making. Requires strong project management...transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work… more
- Duquesne Light Company (Pittsburgh, PA)
- …to manage the full litigation lifecycle including high-value and complex claims . This role requires advanced knowledge of Pennsylvania civil procedure, particularly ... Duties and Responsibilities:** + **Case Evaluation & Intake** + Review incoming claims files to assess eligibility for litigation and identify disqualifying factors.… more