Case Management Pharmacist Coordinate Care and Improve Patient Outcomes A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members
Position Summary Work Arraignment: *The preferred work locations for this position are Sioux Falls, SD or Wilmington, DE, with a hybrid schedule. Candidates outside of these preferred locations may be considered based on role requirements and
Valor Healthcare Opportunity Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who devote their careers
Inbound Customer Service Agent Consumer Relations (Remote) At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by creators, thinkers and
Claims Analyst - Remote The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent
Leave Specialist - Remote Manage full cycle leave of absence cases via ServiceNow for all of the United States plus Canada. Case load average is 150+ cases and the specialist handles the case from intake to eligibility checks, sending required
HR Contact Center Representative - REMOTE Primary point of contact to help triage and resolve employee inquiries and concerns. This position requires daily contact through inbound calls, and chats to determine the exact nature of an
Bilingual Spanish Inbound Customer Service Agent - Consumer Relations (Remote) At GE Appliances, a Haier company, we come together to make good things, for life. As the fastest-growing appliance company in the U.S., were powered by
VP Fintech Sales Executive This is a remote position and can be located anywhere in the U.S.A. The Bancorp does more than enable payments innovation. We work side by side with clients, combining deep expertise with
Consumer Banking Transformation Leader (Hybrid, Remote) At Emprise Bank, everything we do is focused on empowering people to thrive. We proudly work to provide an extraordinary customer experience to help our customers achieve their goals. The
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe
Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to
Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts to
Essential Duties and Responsibilities: - Make outbound calls and emails to military veterans and service members. Communicate with veterans and service members in a clear and empathetic manner, addressing their questions or concerns and keeping them
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system