- Lincoln Financial (Providence, RI)
- …#:** 74886 **The Role at a Glance** We are excited to bring on a highly motivated Claims Manager to our Long Term Disability Claims Organization! As a ... will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead...* Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies,… more
- CVS Health (Woonsocket, RI)
- … processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services, ... resolution for incidents reported through the Store Support center related to claim transactions, initiatives, and to support our store colleagues. The Retail… more
- CVS Health (Providence, RI)
- …files. + Reconciles and balances claims data and invoices in the claims processing system. + Coordinates client billing and invoice payments. + Communicate ... + Imports and monitors PBM claim data and invoice...years of experience with health care data entry and/or claims processing . + 1-3 years of customer service… more
- CVS Health (Providence, RI)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical ... cost management, and operational efficiency. Meritain Health's Project Manager for Third Party Client Audits will be responsible for the following: + Manage… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- Prime Therapeutics (Providence, RI)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sumitomo Pharma (Providence, RI)
- …position is responsible for managing the Medicaid rebate team in receiving, processing , validating, trouble-shooting Medicaid claims and dispute resolution with ... it relates to Model N implementation and payment process. + Experience in processing Medicaid rebates preferably using Model N software application or other similar… more
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