- CVS Health (Carson City, NV)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Carson City, NV)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Las Vegas, NV)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Danaher Corporation (Las Vegas, NV)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Las Vegas, NV)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- CVS Health (Carson City, NV)
- …critical thinking, problem resolution and interpersonal skills - Experience in provider relations activities including claims issue resolution, adding new ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals… more
- Centene Corporation (Carson City, NV)
- …+ Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups + ... with potential providers + Negotiate contracts with interested providers utilizing model provider agreements, and follow up on contracts + Lead negotiations, rate… more
- Humana (Carson City, NV)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Arvato Bertelsmann (Las Vegas, NV)
- …priorities, shipping requirements, and volume peaks. Your goal will be to provide the highest quality service for our customers by establishing best-in-class ... as required. * Responsible for client KPI's: On Time Delivery, Inventory Control, Claims , and On Time shipping. * Peak Season Planning + Execution. * Training… more
- Walgreens (Las Vegas, NV)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
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