- Southland Industries (Garden Grove, CA)
- **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and navigating ... and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy… more
- Medtronic (Santa Rosa, CA)
- …position will be based in Santa Rosa, CA or Mounds View, MN. The ** Senior Regulatory Affairs Specialist ** will support Research and Development programs with ... week onsite as part of our commitment to fostering a culture of professional growth and cross-functional collaboration as we work together to engineer the… more
- Gilead Sciences, Inc. (Sacramento, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
- UPMC (Pittsburgh, PA)
- …to work Eastern Standard Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of ... lead the candidate would be one of the most senior analysts on a high performing team. Must be...Skills Needed: + Strong technical and functional knowledge of Professional Billing (PB) claims . + Willingness to… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- AIG (Chicago, IL)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Regional Production Specialist , Lexington Healthcare to play your part in that ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more
- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and ... one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national… more
- Generac Power Systems (Waukesha, WI)
- …energy technology solutions company, we continue to push new boundaries. The Senior Industrial Technical Support Specialist is responsible for providing advanced ... on how to navigate Generac's warranty systems and submit claims electronically. + Troubleshoots with the dealer technician to...Ability to communicate verbally and in writing in a professional manner. + Solid understanding and knowledge of engine… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more