The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and
Career CategorySales Job Description Territory Covers: Includes, Brooklyn, Queens and Long Island This role will be supporting the Respiratory business unit. Join Amgen’s Mission of Serving Patients At Amgen, if you feel like you’re part of
Are you an experienced Outpatient Facility Auditor with strong APC reimbursement expertise in hospital-based outpatient services? Do you enjoy analyzing APC groupings, status indicators, payment logic, and CMS OPPS compliance across infusion services, outpatient surgeries, and
The Configuration Analyst of Office365 is responsible for managing, administering and governing the Office 365 global tenants, including SharePoint Online, MS Teams, OneDrive and other applications within the Office365 suite. The resource will work in a
The Configuration & Quality Audit Manager will help build, lead and mature the new claim configuration auditing function responsible for validating accurate, complete, and compliant provider reimbursement across claims system configuration and adjudication outcomes. This role establishes
About the Company Gemini is a global crypto and Web3 platform founded by Cameron and Tyler Winklevoss in 2014, offering a wide range of simple, reliable, and secure crypto products and services to individuals and institutions
Job Title Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. Job Duties The job duties include: Monitoring adjudication queue(s) Contacting members and prescribers on non-covered items Facilitating prior authorization
Pharmacy Benefit Plan Design Specialist Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate
Clinical Position at EmblemHealth Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department. Ensure accurate administration of benefits, execution of clinical policy and timely access to appropriate levels of care. Principal Accountabilities:
Job Title Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. Responsibilities Job duties include: Monitoring adjudication queue(s) Contacting members and prescribers on non-covered items Facilitating prior authorization process for