• Pharmacy Claims Auditor…

    Prime Therapeutics (Springfield, IL)
    …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy ... to drive timely and accurate documentation receipt and review + Analyze pharmacy claims to identify those at the highest risk for error; utilize analytics… more
    Prime Therapeutics (07/25/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC,...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (07/29/25)
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