- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing ... RESPONSIBILITIES + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing ... efficient workflow. DUTIES/RESPONSIBILITIES: * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …inbound and outbound calls, maintenance of current nursing home bed census, and pharmacy claims resolution + Responsible for the hiring, training, and ... Order Entry Technician Supervisor Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $28.00 -… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …SpecialtyRx is a full-service pharmacy . We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: ... a fast-paced environment is a must. + Experience in New York Pharmacy billing claims . (Preferred) + Frameworks/ECM knowledge is a plus. + Must be… more
- Trinity Health (Ankeny, IA)
- …**Description:** This Outpatient Staff Pharmacist position is located at our onsite pharmacy in Ankeny, IA. JOB SUMMARY / PURPOSE Provide patient focused, outcome ... changes in therapy as appropriate. * Participate in and deliver specialty pharmacy care management activities, as appropriate * Answer drug information questions. *… more
- CVS Health (Frankfort, KY)
- …is expected to attend and lead discussions as the delegated health plan representative in all state meetings regarding pharmacy program initiatives, new ... ideal candidate will reside in the state of Kentucky.** **Position Summary** The Pharmacy Director for Aetna Better Health of Kentucky will be responsible for all… more
- Publix (Lakeland, FL)
- …and bar admission in other Publix-operating states. + ARM or Certified Claims Representative designation. **Zip Code:** 33811-3311 **Work Environment:** Hybrid ... a wide range of liability matters including premises, fleet, pharmacy , and product claims . + Develop and refine internal litigation processes and policies… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy , and Quality Management) to ... ( Claims , Provider Network Operations, Utilization Management, Quality Management, Pharmacy ) to appropriately address and resolve member grievances. Serve as the… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working cross-functionally with ... and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs for compliance with… more
- AmeriHealth Caritas (Newark, DE)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research… more