• Manager, Risk & Compliance

    LCEC (North Fort Myers, FL)
    …liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing , broker relationships, and cost analysis + Manage ... wellness/medical facility + Company paid Short & Long-Term Disability insurance + Health Savings Account with an employer contribution + Flexible Spending Accounts +… more
    LCEC (08/03/25)
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  • Mgr Medicare Part D Pharmacy Programs - Remote,…

    Prime Therapeutics (Harrisburg, PA)
    …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
    Prime Therapeutics (07/24/25)
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  • Project Engineer

    Tutor Perini (New York, NY)
    …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... work plans. + Assists with monthly billings, cash flow projections, and processing change orders. + Reviews mock-up and/or shop drawings and specifications. +… more
    Tutor Perini (07/14/25)
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  • Pharmacist

    Fresh Encounter (Indianapolis, IN)
    …with Medicare Durable Medical Equipment (DME) guidelines + Oversee the return-to-stock processing + Properly dispose of personal health information + Comply ... pharmacy and regulatory safety procedures and standards + Submit appropriate claims for third-party reimbursement + Consult with physicians and nurses regarding… more
    Fresh Encounter (09/19/25)
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  • Accounts Receivable/Accounting Analyst - 131 West…

    Bowery Residents Committee (Manhattan, NY)
    …+ Highly proficient with Microsoft Office tools. + Prior knowledge of electronic claims processing would be preferred. *Vaccination preferred but not required. ... for accounts receivable processes and daily cash receipts. Accurate and timely processing of billings, receipts, and related payments. Perform analysis of assigned… more
    Bowery Residents Committee (08/20/25)
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  • Patient Service Coordinator/Medical Assi - #Staff

    Johns Hopkins University (Bethesda, MD)
    …management software. + Skills in scheduling appointments, managing patient files, and processing insurance claims . (Helpful but not required. Will train.) + ... by phone or in person. + Obtains pre-certifications as required by patients' health care insurers or managed care providers. + Proficient in verifying insurance… more
    Johns Hopkins University (07/26/25)
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  • Floating Pharmacist

    KPH Healthcare Services, Inc. (Bradford, VT)
    …of Practice as it relates to the provision of the highest quality health care service to our customers **Responsibilities** **Job Duties:** + Follows the Kinney ... initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to...still remaining in-stock for customer needs. Oversees the transmitting, processing and receiving of orders to and from the… more
    KPH Healthcare Services, Inc. (09/27/25)
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  • Sr. Project Manager

    RK Mechanical (Aurora, CO)
    …+ Initiate, review and oversee required project administration and documentation to avoid claims and protect the best interest of RK Mechanical, Inc. and our client. ... dates and budget cost. + Subcontract agreement negotiation, preparation, processing and execution. + Ensure required submittal review, ...procedures. + All employees are accountable for safety and health and are empowered to stop work if an… more
    RK Mechanical (09/27/25)
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  • Client Development Specialist - Dallas

    UNUM (Addison, TX)
    …+ Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid ... time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition… more
    UNUM (09/27/25)
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  • Associate Specialist, Corporate Credentialing

    Molina Healthcare (Jacksonville, FL)
    …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position… more
    Molina Healthcare (09/26/25)
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