Pharmacy Claims Adjudicator

Job Summary:The Pharmacy Services Manager provides strategic leadership and direction to SelectHealth Pharmacy Services and SelectHealth Prescriptions. This position contributes to the clinical and operational direction of the department. The Manager identifies and promotes changes needed to provide cost-effective quality pharmacy benefits to members.Key...

Job Description:In accordance with state and federal regulations, this role assists the pharmacist in the practice of pharmacy, under direct supervision. The Pharmacy Technician will perform various tasks to support the Pharmacy Department, including assisting with the performance of other Pharmacy Department duties in accordance with Company policies and...

Pharmacy Liaison Role OverviewWe are seeking a skilled Pharmacy Liaison to join our team at UnitedHealth Group. As a Pharmacy Liaison, you will play a critical role in building relationships with patients, hospital staff, and pharmacy teams to provide high-quality prescriptive care in a fast-paced hospital and/or specialty clinic setting.Key...

Job SummaryWe are seeking a highly skilled and experienced Senior Pharmacy Technician to join our team at Walgreens. As a key member of our pharmacy department, you will play a vital role in ensuring the smooth operation of our pharmacy services.Key ResponsibilitiesAssist pharmacists in the practice of pharmacy, under direct supervision, in accordance with...

Job SummaryWe are seeking a highly skilled Data Analyst III to join our team at Centene Corporation. As a key member of our business operations team, you will be responsible for providing advanced analytical support to drive business decisions.Key Responsibilities:Provide analytical support for business operations in areas such as claims, provider data,...

Job Summary:The Business Systems Analyst Manager is responsible for leading the business analysis function within Pharmacy Services. This includes directing the day-to-day operations, managing budgets, and overseeing human resource management and staff training.Key Responsibilities:Provides leadership and direction for the business systems analysis...

Claims Examiner Job DescriptionSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due. You will work with high-exposure claims involving litigation and rehabilitation, ensuring ongoing adjudication within service expectations...

33882782 Claim Examiner- WC Location : 1 Corporate Drive, Suite 120, Lake Zurich, IL 60047 Pay rate : $30.51 Duration : 2 Months+ 100 % REMOTE HM Notes : Must have experience handling IL WC claims Job Description: Receives claim assignment, confirms policy coverages and directs acknowledgement of claims- Interprets and makes decisions using independent...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

Pharmacy Technician Job DescriptionRalphs is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a vital role in providing exceptional customer service and helping patients live healthier lives.Key Responsibilities:Provide direct patient intervention by providing health and wellness services and experiences...

Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, and at Genoa...

Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy. Performs various Pharmacy Department duties in accordance with Company policies and procedures.Responsibilities:Assists the pharmacist in the performance of pharmacy tasks, including the use of pharmacy systems to obtain patient and drug...

Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy, under direct supervision. Performs various Pharmacy Department duties in accordance with Company policies and procedures.Responsibilities:Assists the pharmacist in the performance of pharmacy duties, including the use of pharmacy systems to...

Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy, under direct supervision. Performs various Pharmacy Department duties in accordance with Company policies and procedures.Responsibilities:Assists the pharmacist in the performance of pharmacy duties, including the use of pharmacy systems to...

Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy. Performs various Pharmacy Department duties in accordance with Company policies and procedures.Responsibilities:Assists the pharmacist in the performance of pharmacy duties, including the use of pharmacy systems to obtain patient and drug...

ESSENTIAL JOB RESPONSIBILITIES include but are not limited to: Supports and demonstrates IMA's core values Values and understands the importance of diversity, equity, and inclusion among all IMA associates. Provide exceptional customer service, streamlining the manufacturer assistance process or enrolling in international shipping, ensuring a seamless...

Job SummaryAs a Pharmacy Technician at Walgreens, you will play a vital role in providing exceptional patient care and support to our customers. You will work closely with our pharmacists to assist with prescription filling, patient interactions, and maintaining a clean and organized pharmacy environment.Key ResponsibilitiesAssist pharmacists with...

Job Description:As a Pharmacy Customer Service Associate at Walgreens, you will be responsible for delivering a distinctive and delightful customer experience. This includes greeting customers, offering assistance with products and services, and resolving customer issues in a courteous and efficient manner.Key Responsibilities:Registers sales on assigned...

Job Summary:As a Pharmacy Customer Service Associate at Walgreens, you will be responsible for delivering a distinctive and delightful customer experience. You will engage customers and patients by greeting them and offering assistance with products and services, resolving customer issues and answering questions to ensure a positive customer experience.Key...

Job Title: Clinical Appeals SpecialistLocation:Flexible work arrangements available, with a preference for nurses to work in the office in either Lake Success (New Hyde Park) or Albany, NYHours:Monday to Friday, 8am to 5pmStart date:As soon as possible, with a focus on getting all RNs started togetherPay:$48-52 per hour, with opportunities for...

KO Business Solutions is a familyowned consulting and staffing agency in the Chicagoland area that supports the hiring needs of companies across the country. Our valued industrial staffing partner is looking for a Data Entry Specialist Risk Management to join their team!Location: Onsite Hillside ILSchedule: Monday Friday 40 hours/weekPayrate:...

Job Title: Utilization Management / Appeals RN Location: Highly preferred for nurses to work in the office in either Lake Success (New Hyde Park) or Albany, NY ***open to hybrid or fully onsite Hours: M-F 8-5 Start date: ASAP, looking to get all RNs started together Pay: $48-52/hr+ (negotiable) Experience: UM, Appeals, or strong analytical background to do...

Job Title: Utilization Management / Appeals Registered NurseJob Details:Job Type: Contract-to-hireSalary Expectations: $50 - $54/hourWork Schedule: Monday to Friday, 8:00 AM - 5:00 PMWork Location: OnsiteJob Description Responsibilities/Job Duties:Conduct reviews for State and Federal Independent Dispute Resolution (IDR) case determinations, including prior...

Job Title: Utilization Management / Appeals Registered Nurse Job Details Posting Date: 10/21/2024 Reference ID: 235039 Locations: Openings in both Lake Success (New Hyde Park), NY or Albany, NY Work Location: Onsite Discipline: Nursing / Utilization Management Job Type: Contract-to-hire Salary Expectations: $50 - $54/hour Schedule/Shift: Monday to Friday,...

Job Summary:We are seeking a highly skilled and compassionate Pharmacist to join our team at Walgreens. As a key member of our pharmacy team, you will play a vital role in providing exceptional patient care and services to our customers.Key Responsibilities:Provide pharmacy consulting services to patients, including medication counseling and education on...

Job Description:As a Pharmacist (Full or Part Time) at Walgreens, you will play a critical role in providing pharmacy consulting services to patients, ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures.Key Responsibilities:Engage patients by greeting...