- CVS Health (Montpelier, VT)
- …all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates ... May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- CVS Health (Montpelier, VT)
- …handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Northeastern Vermont Regional Hospital (St. Johnsbury, VT)
- Northeastern Vermont Regional Hospital (NVRH) has an exciting opportunity for a Senior Accountant and 340B Specialist . We are looking for a dedicated ... and 990 preparations. + Oversee the 340B program, monitor compliance, and compile claims data while providing support for financial reporting and special projects. +… more
- United Therapeutics (Montpelier, VT)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Montpelier, VT)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more
- Highmark Health (Montpelier, VT)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more