Pharmacy Claims Analyst

IQVIA is seeking a Pharmacy Quality Assurance Analyst for Pharmacy Claims Engine team. This role will ensure our processes around Pharmacy Claims are occurring as intended and aim to improve those processes by automating them wherever possible. The i Claims Analyst, Pharmacy, Quality Assurance, Claims, Analyst, Technology, Software

Position Summary The Claims Analyst will be responsible for settling cargo claims with government/military, corporate, or consumer customers within 30 days. Claims Analysts are responsible for managing customer expectation while performing a thorough investigation on the claim which includes but is not limited to reviewing customer correspondence, client...

Job Title: Workers Compensation Claims Analyst Job Description Join our team as a Workers' Compensation Claims Handler at our plant location. This role focuses on delivering excellent customer service, quality claims handling, and effective loss cost management. Duties + Set up and enter new claims into claim management system ensuring claim coding is...

**Summary** Provides technical support to the Signature Care PPO network, Signature Care Self Funded Account and the various other products offered by Signature Care. Is responsible for re-pricing and payment of claims by administering the Summary Plan Document for each plan. This position requires an extreme level of confidentiality and is responsible for...

Job DescriptionJob DescriptionPosition Description:Workers' Compensation Claims Handler at the Plant with a focus on excellent customer service, quality claims handling, and loss cost management. Plant-based position with hybrid work schedule to be considered.Skills Required:Set up and enter new claims into the claim management system, ensuring claim...

**Employment Type**: Full time **Shift**: **Description**: The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of patient medication and collect patient co-pays. Other responsibilities include...

Description: Seeking a Workers Compensation Claims Handler at a plant in Dearborn with a focus on excellent customer service, quality claims handling, and loss cost management. This is a plant-based position with hybrid work schedule to be considered. Experience Required: + 1-3 years of related Workers' Compensation claims experience About Aston Carter:...

Employment Type:Full timeShift:Description:The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of patient medication and collect patient co-pays. Other responsibilities include major medical...

Employment Type: Full time Shift: Description: The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of patient medication and collect patient co-pays. Other responsibilities include major...

Employment Type: Full time Shift: Description: The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of patient medication and collect patient co-pays. Other responsibilities include major...

Employment Type: Full timeShift:Description: The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of patient medication and collect patient co-pays. Other responsibilities include major medical...

Position Summary:As a Food Service Rebates Analyst, you will be responsible for analyzing, monitoring, and managing rebate programs within the company. Your primary focus will be on ensuring accurate calculation, processing, and reconciliation of rebates in accordance with contractual agreements and company policies. You will collaborate with...

Position Summary: As a Food Service Rebates Analyst, you will be responsible for analyzing, monitoring, and managing rebate programs within the company. Your primary focus will be on ensuring accurate calculation, processing, and reconciliation of rebates in accordance with contractual agreements and company policies. You will collaborate with...

Overview: Building our Future Together. FXI is a leading producer of foam innovation in the Bedding, Furniture, Industrial, Home & Office, Healthcare, and Transportation markets. We have made it our mission to provide tailored solutions that delight our customers and consumers. With our corporate headquarters, high-tech research and development facility, and...

job summary: Bachelor's degree Experience in health research analytics (HEOR, commercial analyses, and Outcome based analyses) Knowledge of coding against common real-world data types (claims and EMR) and common data models. Excellent R, Python, or SAS skills. Preferred R-Shinny skills. SQL programming skill with experience on large databases (i.e., millions...

**Seeking good business people looking to make an impact!** Minimum Requirements: At least two years prior underwriting or sales experience in Commercial Property & Casualty, Personal or Management & Professional Liability lines **OR** - Other insurance experience (carrier or agency) such as insurance customer service or claims handling - Financial...

Monthly Cost Center updates for Benefitfocus We receive new cost centers monthly that must be loaded to BenefitFocus for reporting purposes. This is provided to BenefitFocus through a case Monthly WageWorks payroll file File must be extracted from WageWorks between the 16th and 18th, formatted, and provided to payroll on a monthly basis Monthly...

**Position Purpose**: This position responds to all incoming calls and member walk-ins. Provides information as requested relating to enrollment, review of status, and claims. Identifies questions related to contract interpretation and claims processing. Researches payment of claims, coordination of benefit problems, enrollment issues, pharmacy issues, COBRA...

Join the Supplier Services Department and help us execute the data acquisition strategy with our data supplier partners. **The Supplier Service organization** is responsible for ensuring access to** RX and sales data **to support our **retailers and wholesalers** as it relates to **data in the pharmaceutical and medical supply chain.** Responsible for...

Position Purpose: This position responds to all incoming calls and member walk-ins. Provides information as requested relating to enrollment, review of status, and claims. Identifies questions related to contract interpretation and claims processing. Researches payment of claims, coordination of benefit problems, enrollment issues, pharmacy issues, COBRA...