• Lead Data Scientist - AI

    CVS Health (New York, NY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...of mathematical analysis methods, including predictive analytics, natural language processing , reinforcement learning and causal inference with in-depth specialization… more
    CVS Health (08/08/25)
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  • Office Operations Consultant I

    MyFlorida (Bay Pines, FL)
    …Bi-weekly Excellent retirement package and optional deferred compensation plan. Health , vision, dental, ‎disability, and other supplemental insurance available at ... VA Regional Office, Bay Pines, Florida Department of Veterans' Affairs, Bureau of Claims Services. The primary responsibility of the incumbent in this position is to… more
    MyFlorida (09/25/25)
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  • Manager, Supply Chain

    Otsuka America Pharmaceutical Inc. (Montpelier, VT)
    _At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too._ In this exciting role, as a ... in ERP system. + Manage 3PL processes for inventory, returns and claims , recall activities and reporting, and product destructions. + Manage inventory reporting… more
    Otsuka America Pharmaceutical Inc. (09/10/25)
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  • Onsite Pharmacy Auditor (based in Southern…

    Prime Therapeutics (San Diego, CA)
    …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
    Prime Therapeutics (09/26/25)
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  • State Risk Adjuster 1

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …State statute, but additionally in the PRISM software systems specialized for PCF claims processing , settlements, and payments. An ideal candidate will possess ... Location Baton Rouge, LA Job Type Classified Job Number PCF-SRA1 Claims -213242-TC Department Patients' Compensation Fund Oversight Board Opening Date 09/25/2025… more
    Louisiana Department of State Civil Service (09/25/25)
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  • Senior Medicaid Business Analyst

    NTT America, Inc. (Little Rock, AR)
    …of experience in Medicaid Claims Adjudication, including understanding of claims processing workflows, adjudication rules, and system functionality * Minimum ... candidate will possess in-depth expertise in Medicaid systems, particularly in claims adjudication-and demonstrate a strong ability to translate complex business… more
    NTT America, Inc. (09/18/25)
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  • (USA) Asset Protection Operations Coach

    Walmart (Laurel, MD)
    …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
    Walmart (08/24/25)
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  • Senior Manager, Brand Analytics (Nephrology)

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    …frameworks, including KPIs, dashboards, and monthly business reviews. + Analyze sales, claims , patient-level, and field force data to track brand health ... command of pharma data sources (eg, IQVIA, Symphony, Komodo, claims data, specialty pharmacy, field activity data). + Proficient...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
    Otsuka America Pharmaceutical Inc. (08/11/25)
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  • Financial Counselor

    Trinity Health (Athens, GA)
    …or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or customer ... local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly...recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and… more
    Trinity Health (09/27/25)
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  • Member Service Specialist Seasonal Position…

    Trinity Health (Columbus, OH)
    …of managed care benefit plans and products. Medical terminology and medical claims processing a plus. ​ **Ministry/Facility Information:** Mount Carmel, a ... member of Trinity Health , has been a transforming healing presence in Central...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
    Trinity Health (09/24/25)
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