- CenterWell (Hickory, NC)
- …team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy ... Guidelines. + Managing all incoming telephone calls in a professional manner including: + Screen and route calls to...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- IQVIA (New York, NY)
- …domains: clinical development, study design, patient care, real world data (medical and pharmacy claims , EMR data, etc.), HCP engagement by life sciences ... lead to superior client solutions as well as exceptional professional development. As a Manager, you will have the...flow of business from client engagements. + Work with senior Medical Affairs Strategy staff, Practice Leaders, and/or subject… more
- Health Care Service Corporation (Nashville, TN)
- …Experience with project management methodologies. + Experience of Healthcare industry - mainly pharmacy related claims . + Experience with Medicare Part D and CMS ... be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Consultant's primary responsibility is to leverage strong… more
- CVS Health (Hartford, CT)
- …of these two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and market competitiveness, ... settlement processes. + Establish systemic dashboards and KPIs to track membership, claims , rebates, PBM fees, CMS subsidy revenue, risk corridor payments and other… more
- Option Care Health (Bannockburn, IL)
- …to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more
- Commonwealth Care Alliance (Boston, MA)
- …and long term services and supports. Works closely with delegated entities, pharmacy , dental and other vendors to assure integration, oversight, and efficiency of ... management functions with network strategy, vendor relationship management and claims processing. Works closely with provider relations on resolving provider… more