Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Des Moines, Iowa, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Des Moines, Iowa, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.
Key Responsibilities
Research and analyze pre-payment pharmacy claim data to identify overpayments and errors
Develop and update educational materials, workflows, and operational reports
Review and audit pharmacy claims for accuracy and compliance, and resolve related concerns
Required Qualifications, Training, and Education
National Pharmacy Technician Certification (CPhT) required
Bachelor's or Master's degree in a related field preferred, or equivalent work experience
Minimum of 2 years of experience in claim analytics or related healthcare fields
Proficient in Microsoft Office, especially Excel and Access
Working knowledge of pharmacy claims payment processes and systems
serp_jobs.job_alerts.create_a_job
Claim • Des Moines, Iowa, United States
Job_description.internal_linking.related_jobs
Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm.
It is at the core of how we operate and the reason for our suc...serp_jobs.internal_linking.show_more
This position can be located at our Des Moines, Clive, and West Des Moines and Altoona, IA branch.We know your career is just one aspect of a meaningful, complex, and demanding life.That's why we d...serp_jobs.internal_linking.show_more
Senior Claims Specialist – Medical Malpractice & Liability.Incentive Comp, ESOP, Competitive Benefits.Our client is a leading specialty insurance provider known for delivering personalized solution...serp_jobs.internal_linking.show_more
A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me...serp_jobs.internal_linking.show_more
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more 
Claims Assistant - West Des Moines, IA.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ...serp_jobs.internal_linking.show_more
Defined Benefit Calculation Automation Analyst II.Defined Benefit (DB) calculation automation, using programming / coding to drive pension customer experience, drive scalability, and mitigate risks f...serp_jobs.internal_linking.show_more
We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team.This role will provide high quality claims handling and expertise for all CRS customers.This includes in...serp_jobs.internal_linking.show_more
The Iowa Insurance Division is recruiting an Insurance Complaint Analyst with a focus on Regulatory Compliance Investigations to work in the Market Regulation Bureau.
The Market Regulation Bureau en...serp_jobs.internal_linking.show_more
In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card.
You will collaborate with members of the Care team, ...serp_jobs.internal_linking.show_more
Trinity Health Revenue Management Position.Performs revenue management functions related to home office third party cost reports, third party appeals, third party payer contract negotiations, analy...serp_jobs.internal_linking.show_more
Working directly with business leaderships, SME s, and technical partners on system-aligned teams, to gather and document requirements for various Iowa applications and systems.Creating, presenting...serp_jobs.internal_linking.show_more
Join our Claims Academy - we are building the next generation of expert Claims Adjusters!.Location : Dubuque, Iowa or West Des Moines, Iowa - in office.
It's an exciting time at CBCS! We've been expe...serp_jobs.internal_linking.show_more
HealthMarkets Overview Job Description : .If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent licensed insura...serp_jobs.internal_linking.show_more Workers' Compensation Claims Specialist, Supervisor.Workers' Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team.
The ideal candidate will have jurisdictional experie...serp_jobs.internal_linking.show_more This position is located at our Des Moines, IA E.What's Important to You We know your career is just one aspect of a meaningful, complex, and demanding life.
That's why we designed our compensation ...serp_jobs.internal_linking.show_more Liability Claims Specialist, Supervisor.Liability Claims Specialist, Supervisor to join our Creative Risk Solutions team, located in our Waukee office.
This team member will provide high-quality cla...serp_jobs.internal_linking.show_more 
Senior Work Comp Claims Professional.SFM is unique in that we are small enough that your voice is heard but has all the benefits and perks of a larger employer.
We value your opinion, help you reach...serp_jobs.internal_linking.show_more
Claim Specialist - Property Field Inspection
State Farm • Des Moines, IA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Credit Analyst II
First Interstate Bank • West Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Professional Liability Claims Specialist
Confidential • Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Field Claim Representative Southwest, IA
Auto-Owners Insurance • West Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Senior Financial Analyst ($50-$60 / hour)
Data Annotation • Ames, Iowa
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Investment Analyst – AI Trainer ($50-$60 / hour)
Data Annotation • Ames, Iowa
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Financial Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Ames, Iowa
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Assistant - West Des Moines, IA
Sedgwick • West Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Defined Benefit Calculation Automation Analyst II
Principal Financial Group, Inc. • USA, Iowa, Des Moines
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days
Liability Claims Specialist II
Holmes Murphy • Waukee, IA, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Insurance Complaint Analyst
Government Jobs • Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Processor
Carrot Fertility • Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Reimbursement Analyst
Trinity Health • Clive, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Business analyst
Sunrise Systems • Des Moines, Iowa, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Claims Representative
CBCS • West Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Insurance Agent
HealthMarkets Insurance Agency • Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE
Holmes Murphy • Waukee, IA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Credit Analyst III
First Interstate Bank • Des Moines, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Liability Claims Specialist Supervisor
Holmes Murphy • Waukee, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Work Comp Claims Professional
SFM Mutual Insurance Company • Johnston, IA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new