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Pharmacy Benefits/Insurance Claims Specialist

BlinkRx

Chesterfield, Missouri • Today

Full-time

PMO Analyst with Medicaid/Medicare project experience, RAID expertise

ec3 Federal Services

Remote • 14d ago

Easy Apply

Full-time

Depends on Experience

Resolution Specialist

The Intersect Group

Remote • Today

Easy Apply

Contract

Depends on Experience

Claims Technical Specialist

SANS

Remote • Today

Easy Apply

Contract

Depends on Experience

Project Manager with Medicare/Medicaid and Pharmacy Benefits Management expertise

ec3 Federal Services

Remote • 15d ago

Easy Apply

Full-time

Depends on Experience

Analyst - PBM (Pharmacy Benefits Management) - Healthcare

KE Staffing

Remote • 6d ago

Easy Apply

Contract

$50+

PMO Project Manager with Medicare / Medicaid system experience and RAID expertise

ec3 Federal Services

Remote • 14d ago

Easy Apply

Full-time

Depends on Experience

MercuryGate Consultant

Innova Solutions, Inc

Remote • 28d ago

Easy Apply

Contract

Depends on Experience

ETL Developer

Innova Solutions, Inc

Remote • Today

Easy Apply

Contract

Depends on Experience

Lead BusinessObjects Developer

Innova Solutions, Inc

Remote • 2d ago

Easy Apply

Contract

Depends on Experience

Senior Dynamics 365 & Copilot Analyst

Innova Solutions, Inc

Remote • Today

Easy Apply

Contract

Depends on Experience

Annuity Claims Specialist

SynergisticIT

Remote • Today

Easy Apply

Contract

$40 - $45

Case Manager (LTD/IDI Claims)

BOTG LLC

Remote • 15d ago

Easy Apply

Contract

$45 - $50

DBT (data build tool) Developer Lead

Innova Solutions, Inc

Remote • Today

Easy Apply

Contract

Depends on Experience

Oracle Finance Functional Lead

Innova Solutions, Inc

Remote • 3d ago

Easy Apply

Contract

Depends on Experience

Analyst, Network Contracting

Navitus Health Solutions

Remote • Today

Full-time

USD 54,236.17 - 64,566.87 per year

Claims Examiner - Workers Compensation - W2 Only

Apidel Technologies

Remote • 9d ago

Easy Apply

Contract

52 - 56

Claims Examiner - Workers Compensation W2 Only

Apidel Technologies

Remote • 9d ago

Easy Apply

Contract

48 - 52

Commercial Insurance Certificate Specialist- Remote

Generis TEK Inc.

Remote • Today

Easy Apply

Contract

$16 - $18

Lead, Medicaid Technology

Humana Inc

Remote or Oklahoma • Today

Full-time

USD 117,600.00 - 161,700.00 per year

Senior Java Developer - Healthcare / PBM Platform

Conduent

Remote or Georgia • Today

Full-time

USD 96,250.00 - 125,000.00 per year

Senior Java Developer - Healthcare / PBM Platform

Conduent

Remote or North Carolina • Today

Full-time

USD 96,250.00 - 125,000.00 per year

Workers Compensation Claims Examiner - W2 Only

Apidel Technologies

Remote • 9d ago

Easy Apply

Contract

50 - 54

Strategic Planning Specialist

System One

Remote • 7d ago

Easy Apply

Contract

Depends on Experience

Medicare Benefits Advisor

Pyramid Consulting, Inc.

Remote • Today

Easy Apply

Contract

$25 - $28

Benefits Administrator

Global Solutions Group

Remote • Today

Easy Apply

Full-time

Depends on Experience

Customer Engagement Advocate II (Customer Service)

Lumen Solutions Group Inc.

Remote • Today

Easy Apply

Contract

Depends on Experience

Physician ED Claims Reviewer

W3Global

Remote or Minnesota • Today

Full-time, Contract

USD100000.0/ANNUAL - USD105000.0/ANNUAL

Physician ED Claims Reviewer

Nityo Infotech Corporation

Remote • 2d ago

Easy Apply

Full-time

Depends on Experience

Commercial Card Onboarding Specialist

Randstad Digital

Remote or San Mateo, California • Today

Contract

USD40 - USD45

Job Details

Skills

Innovation
Marketing Operations
Research
SAFE
Management
Regulatory Compliance
Pharmacy
Health Care
Communication
Attention To Detail
FOCUS
Law
Training
Performance Management
Project Management
Preventive Maintenance
Scheduling
Coaching
Legal
Finance
Insurance
Taxes
FSA

Summary

We have a great opportunity for an on-site Pharmacy Benefits/Insurance Claims Specialist in St. Louis, MO

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

This is a fully On-site role in Chesterfield, MO

Responsibilities:

Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
Maintain compliance with patient assistance program guidelines
Document all information and data discovery according to operating procedures
Research required information using available resources
Maintain confidentiality of patient and proprietary information
Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Requirements:

High school diploma or GED required, Bachelor\'s degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Strong technical aptitude and ability to learn complex new software
Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

Location/Hours

On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Mandatory Training first 6 -8 weeks from10 AM- 6 PM
Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

Health, Dental & Vision Multiple plan options from day 1
Well-being Support Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
Life & Disability Insurance
Commuter Benefits Free onsite parking + pre-tax commuter FSA+ Free shuttle service
Free Snacks & Drinks

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: appfeed
Position Id: 27220_10775-34422
Posted 2 days ago

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Remote

•

15d ago

We are seeking to hire several Project Managers with expertise in Medicare/Medicaid system implementation projects, including specific expertise in PBM (Pharmacy Benefits Management), to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of health

Easy Apply

Full-time

Depends on Experience

Analyst, Network Contracting

Remote

•

Today

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and eac

Full-time

USD 54,236.17 - 64,566.87 per year

Pharmacy Operations Senior Representative

Remote

•

3d ago

Immediate need for a talented Pharmacy Operations Senior Representative. This is a 03+ Months Contract opportunity with long-term potential and is located in IL, TX, TN, NM, OK or MT (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-23776 Pay Range: $20 - $22/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities

Easy Apply

Contract

$20 - $22

Clinical Pharmacist Advisor - Remote

Remote

•

6d ago

Title: Clinical Pharmacist Advisor - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelines, departm

Easy Apply

Contract

47 - 52

Job Details

Skills

Innovation
Marketing Operations
Research
SAFE
Management
Regulatory Compliance
Pharmacy
Health Care
Communication
Attention To Detail
FOCUS
Law
Training
Performance Management
Project Management
Preventive Maintenance
Scheduling
Coaching
Legal
Finance
Insurance
Taxes
FSA

Summary

We have a great opportunity for an on-site Pharmacy Benefits/Insurance Claims Specialist in St. Louis, MO

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

This is a fully On-site role in Chesterfield, MO

Responsibilities:

Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
Maintain compliance with patient assistance program guidelines
Document all information and data discovery according to operating procedures
Research required information using available resources
Maintain confidentiality of patient and proprietary information
Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Requirements:

High school diploma or GED required, Bachelor\'s degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Strong technical aptitude and ability to learn complex new software
Employees must hold all active licenses and registrations required for the role under applicable state law and as may be required by business necessity

Location/Hours

On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Mandatory Training first 6 -8 weeks from10 AM- 6 PM
Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

Health, Dental & Vision Multiple plan options from day 1
Well-being Support Employee Assistance Program with counseling, wellness coaching, legal/financial advice, and more
Life & Disability Insurance
Commuter Benefits Free onsite parking + pre-tax commuter FSA+ Free shuttle service
Free Snacks & Drinks

Dice Id: appfeed
Position Id: 27220_10775-34422
Posted 2 days ago

Fitment

Dice Job Match Score™

🔗 Matching skills to job...

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Remote

•

15d ago

Easy Apply

Full-time

Depends on Experience

Analyst, Network Contracting

Remote

•

Today

Full-time

USD 54,236.17 - 64,566.87 per year

Pharmacy Operations Senior Representative

Remote

•

3d ago

Easy Apply

Contract

$20 - $22

Clinical Pharmacist Advisor - Remote

Remote

•

6d ago

Easy Apply

Contract

47 - 52

Pharmacy Benefits/Insurance Claims Specialist

Skills

Summary

Dice Job Match Score™

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Pharmacy Benefits/Insurance Claims Specialist

Job Details

Skills

Summary

Dice Job Match Score™

Similar Jobs