- WellSpan Health (York, PA)
- …and federal guidelines. + Demonstrates initiative and resourcefulness by communicating results of claims review activity to PCS and PFS Leadership. + Serves as ... providers, managers, and staff in departments to ensure correct coding of claims . + Maintains current knowledge of payer/insurance policies, rules and regulations,… more
- Brink's (Philadelphia, PA)
- …we provide equal opportunity to participate and grow. Job Description The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... situations + Partner with branch management on root cause review for high case and claims volumes,...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- Prime Therapeutics (Harrisburg, PA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Analyst - JUDI Ops Support - Remote **Job Description** The Claims ... Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which...$59,000.00 - $94,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... review and resolution of coding related claim denials for...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- CVS Health (Harrisburg, PA)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... for clinical and legal review . - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in… more
- Prime Therapeutics (Harrisburg, PA)
- …Claim Technical Analyst - JUDI Ops Team - Remote **Job Description** The Claims Technical Analyst is responsible for serving as the claims analysis ... and pharmacy remediation analysis caused by errors coded into the JUDI claims processing system. This position also researches and tests system capabilities.… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Bayer (Manchester, PA)
- **Sr Analyst Export Intl Transportation** **At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for ... make a real difference, there's only one choice.** **Sr Analyst Export Intl Transportation** This individual monitors logistics, movements,...the North America region for end to end oversight. Review and assess 4PL performance on a regional level.… more
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