- OhioHealth (Columbus, OH)
- …more - in our careers and in our communities. **Job Description Summary:** The Senior Director of Specialty Pharmacy Services is responsible for the strategic ... supporting the development of pharmacy professionals and advancing specialty pharmacy practice. Collaborates with senior leadership to develop and maintain… more
- Marshfield Clinic (Marshfield, WI)
- …law and third-party reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing. Experience in technical writing and ... to support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary… more
- AbbVie (North Chicago, IL)
- …drug therapy orders, interpreting and dispensing prescriptions, maintaining patient and pharmacy records and other professional activities. This position is ... handling/documentation; prescription data entry; high quality customer service and inter- professional communication; strong core insurance (Medical and Pharmacy … more
- Humana (Miramar, FL)
- …a part of our caring community and help us put health first** The Claims Processing Representative reviews and adjudicates complex or specialty claims , submitted ... or electronically while performing basic administrative/clerical/operational/customer support/computational tasks. The Claims Processing Representative determines whether to return, deny, or… more
- Elevance Health (Mason, OH)
- **Manager Senior Engineering for Healthcare ( Pharmacy ) Applications** **Location:** This role requires associates to be in-office 2-3 days per week, fostering ... accommodation is granted as required by law. The **Manager Senior Engineering for Healthcare ( Pharmacy ) Applications i**...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- AIG (Jeffersonville, IN)
- …contractors, clients, and other internal and external stakeholders to support the Warranty claims team. Senior Examiners are responsible for the handling of all ... extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With over 20+… more
- BD (Becton, Dickinson and Company) (Durham, NC)
- …devices. The position may directly or indirectly (matrix) manage supervisors, professional employees, business support, or technical staff. **Job Description** We ... employee coaching, mentorship, and supervision of support and entry-level professional associates. + Applies expertise to improve effectiveness and provide… more
- Geisinger (Danville, PA)
- …coding, appropriate billing, and reimbursement. + Completes clinical reviews related to Claims , Claim Edits, Appeals and the Grievance process, assisting in analysis ... of clinical risk related to Underwriting, Pharmacy , and Finance departments. + Recommends recovery efforts based...industry standards. + Reviews and validates pended and reconsidered claims when edits are applied by the Plan claim… more
- Walgreens (Lawrenceville, GA)
- **Job Description:** Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more ... patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- BrightSpring Health Services (Hilo, HI)
- …capable and motivated individual to join our team. PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and meeting the ... pharmacy needs for hospitals, rehabilitation facilities, long-term acute care...Identifies and resolves issues of denials or follow-up of claims , by maintaining current knowledge of Medicaid claim… more