• Pharmacy Technician - Claims Analyst

    CVS Health (Phoenix, AZ)
    … Analyst is responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems. The Claims Analyst will identify ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
    CVS Health (09/18/25)
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  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
    DOCTORS HEALTHCARE PLANS, INC. (09/17/25)
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  • Member Grievances Specialist (Medicaid experience)

    Molina Healthcare (WI)
    …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
    Molina Healthcare (09/06/25)
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  • Copay Support/ Claims Processing

    AssistRx (Phoenix, AZ)
    …Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...mail (emails, USMail) from pharmacies, patients, Sites of Care, Health Care Providers, copay vendors (PDMI, FHA and Merchant… more
    AssistRx (09/13/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    claims for all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
    AdventHealth (08/19/25)
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  • Business Audit - Senior Analyst - Must reside…

    CVS Health (Harrisburg, PA)
    …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
    CVS Health (09/20/25)
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  • Senior Medical Economics Analyst

    AdventHealth (Maitland, FL)
    …measurement, and claims analytics Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
    AdventHealth (08/28/25)
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  • Benefits Specialist - Human Resources

    Arnot Health (Elmira, NY)
    …information.* 4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing , waiting period, qualifying ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
    Arnot Health (07/02/25)
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  • Charge Entry/ Claims Processing

    TEKsystems (Denver, CO)
    Remote Data Entry & Claims Processing Analyst (Healthcare Industry) Location: Remote (US only - see excluded states at the bottom) Placement Type: Contract ... seeking a highly analytical and detail-oriented Data Entry & Claims Processing Analyst to support a fast-growing...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
    TEKsystems (09/23/25)
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  • Lead Claims Specialist - Claims

    Providence (Mission Hills, CA)
    …Bachelor's Degree or equivalent educ/experience + 10 or more years of HMO claims processing and/or auditing experience in a managed care environment, preferably ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills 11165… more
    Providence (09/19/25)
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