- Centene Corporation (Austin, TX)
- …work a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter ... expert and handles more complex pharmacy issues and respond to escalated calls from members,...outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Pharmacy Clinical Specialist position is responsible for performing expert clinical pharmacist duties enabling the delivery ... safe, effective use of medications. Additional duties for the Senior Pharmacy Clinical Specialist position...with other health care professionals as needed for problem resolution and/or achievement of identified patient specific goals. +… more
- Geisinger (Danville, PA)
- …update preferred NDC's across inventory locations. + Directly responsible for review of pharmacy cost messages and resolution as appropriate with the appropriate ... Job Summary Works alongside the rest of the Pharmacy Procurement Team to maintain vendor relationships and...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
- Walgreens (Danville, IL)
- …customers, patients, team members and communities. **Job ID:** 1657675BR **Title:** Senior Specialist , HAR Provider Enrollment **Company Indicator:** Walgreens ... all initial applications or renewal applications required for the billing of pharmacy products and services at the commercial, state, and federal level. Ensure… more
- Henry Ford Health System (Detroit, MI)
- … workflows, and assisting the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to ensure ... compliant claims are sent to payers. The CBO Coding Senior Specialist works independently to resolve complex...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...of these functions for external review agent process (Dispute Resolution Agency). + Serve as the subject matter expert… more
- North Shore Community Health (Salem, MA)
- Senior IT Support Specialist Salem, MA (http://maps.google.com/maps?q=27+Congress+Street+Salem+MA+USA+01970) Description Primary Purpose of Position: North Shore ... delivery of community healthcare. We are seeking a skilled Senior IT Support Specialist who is an...services. + Behavioral health care. + Care management. + Pharmacy services. + Substance abuse disorder treatment. + Nurse… more
- Henry Ford Health System (Jackson, MI)
- …care practitioner whose specializes in a care location or patient population. The specialist is the lead or senior practitioner who is responsible administering ... GENERAL SUMMARY: Under general direction, the Respiratory Therapist-Clinical Specialist (RT-CS) provides direction and supervision in the role of on-site Respiratory… more
- Billings Clinic (MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Nursing Quality Specialist NURSING QUALITY - 8781 (BILLINGS ... hours every two weeks (Exempt) Starting Wage DOE: $38.96 - 48.71 Nursing Quality Specialist is a position within the Nursing Quality - Patient Impact Team (PIT)… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team in a ... Commonwealth Care Alliance (CCA) as well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with regulations.… more
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