- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …drug fee schedules, including assessing and pricing new codes + Analyze claims data in conjunction with provider reimbursement methodologies and external benchmarks ... certified outpatient coder (COC) preferred + Proficiency in working with and analyzing claims data + Strong written and verbal communication skills + Knowledge of… more
- Sharp HealthCare (San Diego, CA)
- … Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any information on the ... in collaboration with designated SNF physician or Sharp Community Medical Group primary care physician, as appropriate to ensure...claim is disputed and claims department is requesting verification. + Plan of careWorks… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more… more
- BayCare Health System (Clearwater, FL)
- …+ Conduct thorough investigations by gathering relevant information, documentation, and medical records. + Triage, plan, and execute intake of Appeals and ... + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with regulatory requirements governing grievance and appeal… more
- Robert Half Office Team (Stamford, CT)
- Description We are looking for a skilled Compensation & Benefits Specialist to join our team on a long-term contract basis in Stamford, Connecticut. This role is ... offerings. * Oversee benefits and retirement administration, including invoice and claims processing, budgeting, reporting, and customer service. * Support the… more
- Northern Light Health (Brewer, ME)
- …Light Health. Position is focused on financial accuracy in billing and claims . Auditing and reconciling departmental charges, analyzing claim denials, and ensuring ... Technician (CPhT) preferred. Competencies and Skills + Adobe Acrobat + Electronic medical record software. + Demonstrates Adaptability: Learns quickly when facing a… more
- Robert Half Office Team (Parsippany, NJ)
- Description We are looking for a highly motivated Customer Experience Specialist to join our team in Parsippany, New Jersey. In this role, you will play a key part ... Address customer inquiries and resolve issues related to orders, returns, and claims efficiently. * Analyze customer logistics performance and propose solutions to… more
- Aston Carter (Fresno, CA)
- Description The Logistics Specialist is responsible for leading and coordinating international trade operations, ensuring compliance with all applicable laws and ... process to ensure timely submission and completion of all claims . Prioritize and plan shipments with reference to production...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Parker Hannifin Corporation (Devens, MA)
- Purchasing Specialist Location : DEVENS, MA, United States Job Family : Procurement Job Type : Regular Posted : Nov 25, 2025 Job ID : 61277 Back to Search Results ... suppliers and company personnel. + Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- Robert Half Office Team (Cooperstown, NY)
- Description We are looking for a dedicated Release of Information Specialist to join our healthcare team in Cooperstown, New York. In this long-term contract ... and prioritize tasks to meet deadlines efficiently. * Work with disability claims and TRICARE-related documentation as needed. * Maintain professionalism and adhere… more