- Dragonfly Health (Mesa, AZ)
- …pharmacy relationships and demographics. 10. Complete tasks and special projects assigned by Pharmacy Claims Team Leaders on Pharmacy Claims (Support ... of six (6) months of pharmacy technician experience. * Experience with pharmacy claims adjudication is required. Specialized Knowledge, Skills & Abilities: *… more
- Humana (San Juan, PR)
- …of our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy ... support assignments. Performs computations. Typically works on semi-routine assignments. The Claims Processing Representative 2 determines whether to… more
- State of Colorado (Denver, CO)
- …provisional certification as a Pharmacy Technician from the Colorado State Board of Pharmacy AND Two ( 2 ) years of experience in an occupational field related ... and paperwork from the units, process Medicare Part D claims , coordinates pickup and removal of pharmaceutical wastes with...How many years experience do you have as a Pharmacy Tech? + 0-1 years + 1- 2 … more
- Molina Healthcare (Seattle, WA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- Humana (Tallahassee, FL)
- …VERSION RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) As a Contact Center Representative 2 , you will provide coverage for **Eastern Time Zone** hours, taking ... Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy support. **Use your skills to make an impact** **Required Qualifications**… more
- TEKsystems (Cary, NC)
- …professional phone manner + Strong attention to detail + Experience with medical office, terminology, pharmacy , or claims is a plus + Must be amenable to work in ... + Option 1: Tuesday-Friday, 11:30 AM-8:00 PM + Saturday, 9:00 AM-6:00 PM + Option 2 : Monday-Friday, 11:30 AM-8:00 PM + Work Type: On-site, 5 days a week Required… more
- State of Colorado (CO)
- … processing systems or medical information systems. + Working in a large claims processing system, including State Medicaid and/or Pharmacy benefits and services ... Division of HIO exists to manage and enhance computerized claims processing and information management systems in order to...System (iC), also known as the MMIS System, the Pharmacy Benefits Management System (PBMS), the Enterprise Data Warehouse… more
- Publix (Lakeland, FL)
- …and bar admission in other Publix-operating states. + ARM or Certified Claims Representative designation. **Zip Code:** 33811-3311 **Work Environment:** Hybrid ... a wide range of liability matters including premises, fleet, pharmacy , and product claims . + Develop and...(lead or second chair), OR3 years in litigation + 2 years managing litigation for a corporate liability function,… more
- CVS Health (Largo, FL)
- …client satisfaction, retention, and engagement by serving as a trusted onsite representative to our public sector client. This field-based role centers on delivering ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- Boehringer Ingelheim (Ridgefield, CT)
- …for our employees. The Fellow will serve as the Regulatory Affairs representative on the Human Pharma Review Committee (HPRC) team, working cross-functionally with ... and the current Regulatory landscape. The Fellow will review promotional claims and materials for Boehringer Ingelheim prescription drugs for compliance with… more
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