Primary Duties and Responsibilities Determines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term
Our Company PharMerica Overview Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where youll
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Please Note: Primary Duties and Responsibilities Responds to questions from incoming Insureds or representatives’ phone calls and emails regarding requests for information needed for ongoing long-term claim administration. Uses extensive claims knowledge in interpreting and analyzing pertinent facts
Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: “Otsuka-people creating new products for better health worldwide.” Otsuka researches, develops, manufactures and markets innovative products, with a focus on pharmaceutical products to
Our Company PharMerica Overview Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where youll
Job Title: Claims Examiner – Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview: As a Claims Analyst specializing in Accident, Critical Illness, Short-Term Disability, and Hospital Indemnity lines of business, you will be responsible for accurately assessing and
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: “Otsuka-people creating new products for better health worldwide.” Otsuka researches, develops, manufactures and markets innovative products, with a focus on pharmaceutical products to
Primary Duties and Responsibilities Performs quantitative and qualitative data analysis to accurately process reimbursement payments for Long Term Care needs. Uses extensive claims knowledge in interpreting and analyzing pertinent facts to review claims data necessary for accurate financial
Optum Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by
Primary Duties and Responsibilities Determines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term
Who We Are: Managed Health Care Associates, Inc. (MHA) provides care communities access, solutions, and insights to help them run their businesses more effectively. Our members include post-acute providers across the care continuum, including long-term care,
About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus
Description At CSpring, we believe in unlocking potential—whether it’s for our clients, colleagues, or the communities we serve. We’re not just a consulting firm; we’re a team that values connection, growth, and purpose. If you’re looking
AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective
Realistic Job Preview Video Remote in Texas, Kansas, Missouri, Arkansas, Illinois, Wisconsin, Iowa, Tennessee, North Dakota, South Dakota, Nebraska, Minnesota, Louisiana, Mississippi, Alabama or Florida Optum is a global organization that delivers care, aided by technology,
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the